Orthopedic & Fracture Specialists (O+FS) is a high-volume orthopedic practice in Portland, OR. As the group expanded providers and case mix, external shocks – staffing shortages, nursing/anesthesia strikes, and supply chain delays – strained scheduling and reduced flexibility. Leadership needed a single source of truth to see case status and backlog in real time, reduce delays, and protect valuable surgeon and OR time. Through a partnership with LeanTaaS, O+FS partnered implemented iQueue for Surgical Clinics to digitize scheduling, standardize workflows, and surface actionable insights that accelerated case velocity and improved patient access.

Problem

Prior to iQueue, surgery scheduling relied on binders, sticky notes, emails, and spreadsheets. Information arrived through multiple channels, creating handoff risk and dependence on institutional knowledge. Limited hospital lead time and a lack of visibility into “who’s ready” meant open OR time could go unfilled. Stalled cases were hard to identify or recover, representing significant missed revenue. These fragilities intensified when a veteran supervisor went on unexpected leave. Productivity dropped because process knowledge wasn’t centralized.

Solution

O+FS deployed iQueue for Surgical Clinics to create a single source of truth for case management. This real-time visibility became a catalyst for growth, enabling the practice to increase surgical volume by 12% without adding staff. The platform provides clear, real-time visibility into case status – who’s scheduled, on hold, or ready to move forward – allowing schedulers to act quickly when slots open.

The transition, once expected to be a major change-management challenge, quickly gained momentum. Within weeks, schedulers reported unprecedented organization and visibility, transforming the team from reactive coordinators into proactive capacity managers. Since going live, O+FS has accelerated scheduling, reduced delays, and expanded throughput, all without adding staff. With structured, accessible data and transparent workflows, the practice continues to identify recoverable cases and unlock significant revenue potential while enhancing the patient and staff experience.

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