CASE STUDY

Customer Success: Regional Canadian Health System

More Surgeries, Less Overtime — Without More Staff

2M population served

Ambulatory Surgical Hospital

52 Surgeons across 5 specialties

Sifio Health’s Surgitwin™ platform

RESULTS

Sifio Impact

Annual Cases
+924
Overtime Hours
−73%
Avoidable Hours
−77%
Time Utilized
+$1.97M

Sifio Health’s digital twin platform enabled a Canadian health system to increase surgical throughput while dramatically reducing costly overtime. One of the system’s high-volume ambulatory sites, operating 8 ORs across 5 specialties, had long struggled with staff burnout, inconsistent schedules, and extended surgical wait times. Within a year of implementing Surgitwin™, the hospital performed 924 more surgeries while cutting overtime hours by 73%, all without additional staff or infrastructure. The AI-powered solution helped leaders move beyond the assumption that overtime was necessary to maintain volume — revealing that better planning, not longer hours, was the key to improved performance. With real-time data and daily optimization guidance, staff gained predictability, morale improved, and operational waste was reclaimed.”

challenge

Overtime costs more while failing to deliver volume gains

The health system’s perioperative teams were stretched thin. Unpredictable workloads, high absenteeism, and reliance on agency workers left staff burned out and unable to plan their personal lives. Leadership had little visibility into when and why surgical blocks exceeded scheduled time or sat underutilized. Despite running over 12,800 cases a year, nearly 1,000 more surgeries could have been completed using time lost to early finishes, conservative scheduling, and delays.

Key Issues Identified
  • 312 hours of annual overtime
  • 914 hours of unused “collectable time”
  • Equal to 1,026 potential cases
  • Up to 24-month wait times for elective surgeries

High rates of avoidable overtime across most surgical services The underlying inefficiency wasn’t surgical skill — it was a planning problem.

SIFIO DEPLOYMENT

SurgiTwin delivered

The hospital partnered with Sifio Health to implement its AI-powered digital twin platform, Surgitwin™, which integrates seamlessly with existing perioperative systems to provide predictive decision support and planning recommendations.

Surgitwin Delivered:


  • Daily optimization insights to align schedules with reality
  • Visibility into avoidable vs. unavoidable overtime
  • Identification of collectable time — schedulable capacity left unused
  • Agile, data-driven coaching and triweekly huddles for planners and leads
  • Quarterly block review summaries to guide resource reallocation

By empowering perioperative teams with real-time, actionable data, leadership could move from reactive adjustments to proactive planning.

SIFIO DEPLOYMENT

Surgitwin delivered

The health system deployed Sifio Health’s AI-powered digital twin, Surgitwin™, to diagnose inefficiencies and deliver data-driven recommendations in real time. The platform integrated seamlessly with existing systems and supported hospital teams through three coordinated modules:

Performance Management Module
  • Flagged patterns of under performance
  • Made block, day, and specialty-level inefficiencies transparent
  • Enabled real-time monitoring of resource use
Short-Term Planning Module
  • Delivered daily recommendations to optimize case loading
  • Supported agile planning via triweekly 15-minute check-ins
Block Allocation Module
  • Guided quarterly reviews to optimize long-term block use
  • Helped leadership align OR priorities andminimize overload

“There’s only one single truth that I get to see and it’s in the Sifio Health data. I don’t have to work the weekend trying to decipher multiple reports to figure out how to answer the question.”

CHIEF OF SURGERY

solutions

Why Sifio solution worked?

  • Root-cause Visibility: Planning gaps, late starts, and idle time were identified and addressed
  • Behavioral alignment: Triweekly coaching and visual dashboards created accountability and buy-in.
  • No added staff or infrastructure: All gains were achieved with existing resources.
  • Cultural change: Staff reported improved morale and predictability in their workdays.

Ready to Reclaim Your Time?

See how your hospital compares and how much collectable time you could unlock — without burning out your teams.

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