9 → 1
touchpoints in the pre-op clearance sequence run by Saha instead of a coordinator.
The operational engine for orthopedic surgery, from referral to recovery.
Saha runs the operational tail of every orthopedic case from referral through recovery - pre-op clearance, day-before confirmation, post-op PT adherence, and PROM capture - encoded in the practice's own protocols and run across the practice's existing systems. Below is how it shows up across a typical orthopedic group with attached ambulatory surgery.
Pre-op → ASC → Post-op
full-episode coverage, encoded in the practice's own protocols.
Referral → recovery
full-pathway coverage, from the new referral landing to the 12-week post-op follow-up.
At a glance
Orthopedic surgery groups operating one or more attached ambulatory surgery centers, where the operational tail of every case decides whether it ships and what it earns.
Whether the procedure mix skews to total joint arthroplasty, sports medicine, or spine, the operational shape is the same: a long pre-op clearance sequence, a day-before confirmation gauntlet, and a post-op program that decides PT adherence, readmission risk, and PROM capture. Saha runs that whole pathway from referral through recovery.
What slips through the cracks in orthopedic operations
Every empty OR slot is a measurable revenue leak. Every clearance gap is a case at risk.
In an ASC, the math is unforgiving. A same-day cancellation isn't a rescheduled patient - it's an empty room, a paid-but-idle surgical team, and a patient who may not come back. Below are the operational gaps Saha is built to close.
Same-day cancellations
Industry baseline runs 5-8% in ortho ASCs.
Each canceled case ≈ $4,200 in foregone case revenue plus the displaced anesthesia and surgical-team cost. The most common reasons are clearance gaps, anticoagulant confusion, and transportation issues - all addressable with the right operational engine.
Pre-op clearance gauntlet
A nine-touchpoint sequence per case.
Medical clearance, cardiology when indicated, imaging, PT pre-hab eval, anticoagulant management - typically tracked in a spreadsheet maintained by the surgical scheduler. Every step is a place a case can stall inside the 72-hour window.
Post-op PT adherence
A leading indicator of readmissions, PROM scoring, and downstream PT revenue.
Patients falling behind on their post-op program are unseen unless someone is reaching out at the 2-, 6-, and 12-week marks. Most groups don't have a systematic way to do this - so the metric stays opaque and the readmission risk stays elevated.
What Saha runs
The operational tail of every case - pre-op, day-of, post-op - encoded in the practice's own protocol.
Saha did not change how the surgeons operate. It changed how the operational team gets the patient ready, and how the post-op program runs after the patient goes home.
1
Pre-op clearance orchestration
Medical · Cardiology · Imaging · PT pre-hab
Saha works the entire 9-touchpoint clearance sequence for every scheduled case - surfacing gaps the moment they form, not 72 hours before surgery. The scheduler stops being a clearance archaeologist.
2
Day-before confirmation
NPO · Transportation · Anticoagulant hold
Same scripting the surgical team's coordinators were using - automated, captured, logged. Patients confirm transportation, NPO status, and anticoagulant compliance before they're ever in the parking lot.
3
Post-op PT scheduling and adherence
2-wk · 6-wk · 12-wk
Saha schedules post-op PT, follows up at the 2-, 6-, and 12-week marks, and reaches out to patients falling behind on their program. PT adherence is no longer a number nobody tracks.
4
PROM survey collection
12-week capture
Patient-reported outcome measures collected automatically - feeding payer reporting, surgeon report cards, and the case for future bundled-payment arrangements.
The metrics Saha is built to move
Where the engine shows up in the numbers.
Saha's job is to close the operational gaps that drive each of these metrics. The figures below are the typical industry baselines we encounter and the directions Saha is built to push them.
↓ Same-day
Cancellation rate driven down through clearance, anticoagulant, and transportation confirmation.
↓ 72-hr
Clearance gap rate inside the 72-hour pre-op window - surfaced in real time, not the night before.
↑ 6-wk PT
Post-op PT adherence captured at the 6-week mark for total-joint patients.
↓ 30-day
Readmission rate held under leadership's threshold, driven by the lift in PT adherence and follow-through.
↑ 12-wk PROM
PROM capture rate at 12 weeks - feeding payer reporting and surgeon report cards.
The job in orthopedics isn't to change how the surgeons operate. It's to make sure every case ships on time, every patient is ready when they walk in, and every post-op program actually completes - without burning out the coordinators in the process.
- How Saha is positioned for orthopedic groups
What's next
From the OR to the rest of the service line.
Design your care pathway
We'll show you your own off-track cohort.
We'll preview your panel from a sample EMR pull and walk through what Saha would flag on day one.