May 21, 2026

Sync with your COO on balancing operational improvements with financial performance

What does your chief operating officer (COO) think of the state of perioperative services at your organization? How should they think about it?

A new white paper provides some rich insight for COOs on how to drive perioperative operational improvements that will also bolster financial performance. For perioperative leaders, it can provide intelligence on the types of language and strategic thinking that might help you better connect and align with your COO on this vital issue.

The comprehensive, freely accessible “executive resource” designed specifically for COOs was published this week by Surgical Directions, a healthcare solutions company specializing in perioperative and procedural care, sterile processing, anesthesiology, and radiology services. It states that the resource provides COOs “a detailed operational roadmap linking daily execution to measurable margin improvement.”

Citing “labor shortages, reimbursement compression, inflationary supply costs, and rising patient acuity,” Surgical Directions states that the guide provides a “structured, evidence-based framework for improving surgical operations in ways that directly strengthen hospital financial performance.”

Surgical Directions stresses that “perioperative services should not be treated as a cost center to be managed, but as a strategic asset to be optimized. Hospitals that establish strong governance, improve utilization discipline, standardize workforce models, and leverage predictive analytics can unlock meaningful financial improvement.”

“This is not about cutting services,” stated co-author Josh Miller, MD, chair of the company’s Board of Directors and its physician managing director. “It is about disciplined governance, smarter utilization, workforce alignment, and predictive analytics that allow hospitals to unlock the financial strength already embedded in their surgical operations.”

The company states that surgical services “often represent up to 70 percent of hospital revenue while also consuming significant labor and capital resources. When perioperative operations lack alignment, hospitals experience lost capacity, surgeon dissatisfaction, staff burnout, and margin erosion. When optimized, those same services become a powerful engine for sustainable financial improvement.”

With that in mind, the guide dives into “eight operational levers that translate directly into measurable financial outcomes”:

  • Multidisciplinary surgical governance
  • OR scheduling and utilization optimization
  • First case on-time starts and turnover efficiency
  • Using robotics and AI to optimize standards of care
  • Workforce optimization and engagement
  • Supply and instrumentation management
  • Case mix and service line optimization
  • Continuous measurement and benchmarking

Access the full resource, “COO Guide to Perioperative Operational Improvements That Boost Financial Performance,” here.

If you like this one, Surgical Directions offers similar freely accessible white papers for hospital CEOs and chief financial officers (CFOs).

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