Kathleen Meyer, RN, BSN, ONC, CPPM, Manager Pre-Procedural Operations, Silver Cross Hospital Procedural Care Unit
Ashley Walsh, MHA, Chief Revenue Officer, LeanTaaS



The “One Big Beautiful Bill” (OBBB) isn’t just policy — it’s reshaping reimbursement and tightening margin expectations across health systems, raising the stakes for every perioperative leader.
In this 40-minute session, we’ll dig into what that really means for surgical operations. As OBBB accelerates site-neutral payment, caps Medicaid reimbursement, and pressures staffing models, health systems are being asked to do more with less — and to prove they can.
You’ll hear how top OR leaders are navigating those changes with targeted moves: releasing underused block time faster, redesigning pre-op workflows to avoid day-of cancellations, and streamlining case scheduling to cut down on denials and wasted hours. You’ll also learn how aligning staffing and room utilization with forecasted case volumes helps avoid costly mismatches. Finally, we’ll explore how surgical scheduling tied to site-of-care strategy — and integrated visibility across ASC and hospital ORs — can reduce cost per case and expand capacity without adding rooms.
We’ll show how LeanTaaS customers are unlocking measurable ROI in less than six months — without relying on capital projects or staffing expansions.
This panel will offer a real-life case study approach at how surgical operations can stay agile, protect margin, and improve access — all while aligning with well-researched Perioperative Surgical Home (PSH) principles that make care safer and more coordinated.
What You’ll Learn
- Policy in practice: What OBBB and site-of-care policy changes mean for block time, staffed room hours, and perioperative readiness workflows.
- OR capacity optimization ROI: How progressive health systems are achieving double-digit gains in block utilization and lowering cost-per-case.
- OHSU: +2% block utilization YoY, +3% prime time utilization.
- Silver Cross: +9% staffed room utilization, –12% turnover minutes, –6% denials.
- Prevent day-of surprises & improve staff productivity: Using data science and automation to flag risks early.
- OHSU: 25 hours per week saved in staffing coordination.
- Silver Cross: Case scheduling adoption jumped from 3% to 65% in three months.
- Operational redesign in action: How health systems are streamlining scheduling and expanding access without additional rooms.
- Why EHR-first ≠ EHR-only: The upside of purpose-built solutions that extend beyond the EHR.