Q1 2026 Budget vs Actual
Cases delivered vs budget for the in-scope surgeons. Comparison is Main OR + MPS only (the venues we track in SurgiNet). ASC volume is shown separately on each surgeon's profile but excluded from the headline variance because ASC budget data in the source PowerBI report is frequently incomplete (ASC actuals reported with no corresponding ASC budget). Variance % is relative to Main OR + MPS budget. YoY = vs Q1 2025 same scope.
Surgical Tower
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MPS
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Combined
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Most over budget (Q1)
Most under budget (Q1)
Top YoY growth (vs Q1 2025)
Top YoY decline (vs Q1 2025)
Surgical Tower
Cases
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OR hours
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Tower surgeons
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Avg case duration
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in-room minutes
Top 10 block holders by Q1 volume
Specialty mix — tower
MPS — Pediatric Specialty Center
Cases
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OR hours
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Frequent surgeons
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Avg case duration
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in-room minutes
Top 10 MPS surgeons by Q1 volume
Specialty mix — MPS
Late finish, long cases, complexity
Late finish ≥ 17:30
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Late finish ≥ 19:30
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Cases > 6 hr
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Late-finish watchlist
Long-case watchlist
High-acuity leaders
Block-holding surgeons in the Surgical Tower (Main OR). Source: data/block_schedule.csv. The "Operating-Somewhere" measure reflects whether the named block surgeon operated anywhere on their block day -- which captures the morning huddle reshuffling pattern. The "In-Room Match" measure reflects whether the named surgeon dominated their assigned room.
Block adherence by surgeon
All block holders — Q1 case profile
MPS surgeons with ≥ 10 cases in Q1 2026. MPS uses a different staffing model from the Surgical Tower (1:3-4 anesthesia coverage); block scheduling concepts don't apply. Shown here are case profiles per frequent surgeon.
MPS frequent surgeons — Q1 case profile
ASC volume tracking, Q1 2026 with YoY comparison. Important data note: ASC budget data is not populated in the source PowerBI report (every surgeon's ASC budget = 0). Therefore this tab is volume-only, not budget vs actual. The daily ASC census also reports a higher total than the per-surgeon rollup -- the gap represents cases without a captured surgeon attribution and is worth surfacing to the finance/scheduling teams.
ASC cases (per surgeon)
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ASC cases (daily census)
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total from asc_daily census
YoY change (per surgeon)
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Surgeons with ASC volume
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Q1 2026
Monthly ASC volume (daily census)
Top ASC users (Q1 2026)
Largest YoY declines
Largest YoY growers
All Q1 2026 ASC users
Cross-venue throughput and efficiency metrics. On-time first case = first case in each (room, day) starting at or before 07:30. Late finish = case ended at or after the cutoff. Specialty benchmark compares each surgeon's avg case duration to the median for their specialty (positive % = slower than peers, negative = faster).
First-case on-time start (07:30 target)
Best on-time rate (≥ 5 first cases)
Lowest on-time rate (≥ 5 first cases)
Late finish rate (per case)
Long-case & add-on rates
Avg case duration vs same-procedure peers
Procedure-level benchmark: for each case, the surgeon's actual in-room time is compared to the Q1 median for that same exact procedure across all surgeons. Then case-weighted across the surgeon's caseload. This compares spine surgeons to other spine surgeons doing the same procedures, not to all of orthopedics broadly. Positive % = slower than peers doing the same work. Negative % = faster. Procedures with fewer than 5 total cases are excluded as their median isn't meaningful.
Pick surgeon:
All in-scope surgeons (block holders + MPS frequent)
Click any column header to sort. Click any surgeon name to jump to their profile. Cells are color-coded: green = top quartile of their venue, orange = bottom quartile.
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