First case performance
Define what on time means locally, separate scheduled from actual milestones, and identify the recurring causes behind unreliable starts.
Perioperative governance and operational-financial intelligence
Give every participant a clear view of the surgical episode.
Surgemetry® is the case-centered perioperative governance and accountability layer being designed to reconcile fragmented operational and financial signals into readiness, owned action, an auditable decision trail, and longitudinal performance. Each system of record remains authoritative.
One buyer. One measurable problem. One accountable workflow.
Current stage: consulting-enabled pilot design, a bounded working prototype using synthetic data, and illustrative interface concepts. Surgemetry is not yet a production clinical or financial system.
One surgical episode
The right view for each participant
Surgeon office Case readiness
2 need attention 8Ready
2In review
1Patient step
Case Next responsibility Status
MCMaya Chen Medication list Patient step
JBJon Bell Cardiology review In review
SRSofia Reyes All items complete Ready
Good morning, Maya
Your surgery plan Tuesday, May 12 · 7:30 AMPreparing3 of 4
Personal preparation steps complete
- ✓Arrival instructionsReviewed
- ✓Support personConfirmed
- 3Medication listDue Monday
Care team update One clinical item is under review. No action is requested from you.
PatientsFamiliesSurgeon officesHospital teams
Patient readiness First case performance Turnover and idle gaps Cancellations Block utilization Anesthesia context
The core question
What needs attention, who needs to know, and what can that person do next?
A focused entry point
Start narrow enough to learn. Measure deeply enough to matter.
Many hospitals already have dashboards. The harder problem is agreeing on definitions, reconciling conflicting sources, explaining what caused the result, and connecting the finding to someone who can act.
Surgemetry begins with a bounded operating question. It does not require a hospital to replace its EHR, financial system, or existing analytics environment before the value of the question has been demonstrated.
The product direction extends beyond reporting. Selected signals can become a clear patient checklist, a surgeon office readiness view, an operating day workspace, or an aggregate leadership brief.
The measurement spine
Four practical lenses on operating room performance.
Turnover and idle gaps
Distinguish task based turnover from the full interval between cases, then show where staffed capacity is waiting and why.
Cancellations and readiness
Classify preventable and nonpreventable causes, surface late discovery, and focus attention on the workflows that can change.
Block utilization
Examine allocated time, release behavior, prime time use, after hours activity, and the local context behind apparent unused capacity.
Beyond another dashboard
Measurement earns its value through the decision that follows.
Surgemetry keeps calculation separate from judgment. Systems of record remain authoritative, assumptions stay visible, and a human leader owns the decision about what happens next.
- 01DefineAgree on the question and metric
- 02MeasureEstablish a trustworthy baseline
- 03ActAssign a focused response
- 04LearnMeasure what changed next
More than analytics
The same surgical episode should not look the same to everyone.
Patients need clear next steps. Families need limited, shared status. Surgeon offices need readiness and ownership. Perioperative teams and anesthesia need operating day coordination. Hospital leaders need aggregate patterns.
Surgemetry is being designed to translate the same governed operational truth into each appropriate view, while preserving role, permission, and human accountability.
Explore the patient and stakeholder interfacesPossible first questions
Choose the problem with urgency, usable data, and an accountable owner.
Why are first cases starting late?
Connect scheduling, patient readiness, staff, anesthesia, rooms, equipment, and other locally defined milestones to the actual start.
Where is staffed time going unused?
Separate turnover from true idle gaps, examine block behavior, and identify the operating conditions that merit intervention.
Which cancellations can be prevented?
Create a consistent cause structure, identify when risk became visible, and measure whether the responsible workflow improves.
Anesthesia as a focused use caseCoverage, demand, call burden, productivity, and service expectations require local context.
Surgemetry can support an anesthesia question when that is the buyer’s most consequential and measurable starting point. It does not impose a universal staffing ratio.
Explore the use casesOperator led
Built from the realities of perioperative management.
Surgemetry is being developed through Brabec Healthcare Management, Inc., drawing on Frank Brabec’s more than 23 years of experience across anesthesia, perioperative operations, medical groups, hospital operations, healthcare economics, contracting, governance, and consulting.
The founder’s role is to define the operational problem, translate between stakeholders, and protect the integrity of the decision. Production architecture, cybersecurity, privacy, interoperability, and enterprise deployment require qualified technical and hospital partners.
About Surgemetry and the founderA practical first conversation
What perioperative decision can your current reporting show, but not explain?
Let’s determine whether the problem is consequential, whether the necessary data is available, and whether a focused pilot can produce credible evidence for the next decision.
Discuss a Focused Pilot