The Perioperative Playbook

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• Legislative Impacts to Perioperative Services w/ Randy Heiser 06.02.2026 24min

  This conversation covers the perioperative impacts of recent legislative changes, focusing on financial viability, coding, business management, price transparency, prior authorization, anesthesia impact, Medicaid cuts, and financial resilience. It emphasizes the need for adaptation and preparation for change in the perioperative suite.TakeawaysPerioperative suite financial impactsOperational changes in perioperative suiteChapters00:00 Introduction and Legislative Changes08:04 Coding and Finance Communication14:04 Price Transparency and Prior Authorization19:50 No Surprises Act and Anesthesia Impact25:01 Medicaid Cuts and Rural Hospital Impact30:07 Preparing for Change in Perioperative Suite
• Interim Leadership Fundamentals w/ Shawn Craddock 06.02.2026 39min

  This conversation delves into the intricacies of interim leadership in perioperative consulting, emphasizing the importance of thorough preparation, relationship-building, and generating buy-in from all levels of staff. It explores the challenges and approaches in managing physicians, anesthesia, and nursing staff, highlighting the critical role of morale management in interim leadership positions. The conversation delves into the importance of authentic leadership, building personal work relationships, and the impact of leadership presence. It also explores the challenges of navigating authority as an interim leader, preparing for replacement and transition, involvement in replacement selection, indicators for pursuing interim leadership, and strategies for success as an interim leader.TakeawaysInterim leadership in perioperative consulting involves thorough preparation and relationship-building.Generating buy-in from all levels of staff is critical for success in interim leadership positions. Authentic leadershipBuilding personal work relationshipsChapters00:00 Introduction to Interim Leadership07:35 Building Buy-In from Staff13:34 Managing Physicians in the OR21:41 Managing Nursing Staff and Morale27:10 The Impact of Authentic Leadership33:09 Preparing the Organization for Replacement39:34 Indicators for Pursuing Interim Leadership
• The Metrics That Matter w/ Randy Heiser 06.11.2025 35min

  In this episode of the Perioperative Playbook, Stephen Spake and Randy Heiser discuss the critical metrics that matter in surgical operations. They explore the complexities of defining and measuring these metrics, the importance of balancing efficiency and productivity, and the role of data literacy at the C-suite level. The conversation also delves into the future of AI in healthcare and how it can enhance perioperative metrics. Finally, Randy shares his top five metrics for a well-run surgical suite, emphasizing the need for execution over mere playbook strategies.takeawaysThe holy grail of surgical operations is finding one key metric.Utilization metrics must be clearly defined to be effective.Efficiency should focus on reducing waste, not just increasing output.Data literacy is crucial for C-suite leaders to understand meaningful metrics.Vanity metrics can lead to poor decision-making in surgical services.AI has the potential to revolutionize scheduling and case management.Balancing data consciousness with patient safety is essential.Metrics should be tailored to specific procedures for meaningful insights.Communication and teamwork are vital for improving surgical efficiency.Execution of the playbook is more important than the playbook itself.
• The Military to Consulting Pipeline w/ Shawn Craddock 02.09.2025 41min

  Join us on this insightful episode as we explore the journey of transitioning from military service to healthcare consulting. Our guest, Shawn Craddock, shares their personal experiences and challenges faced while moving from the structured environment of the military to the dynamic world of healthcare consulting. Discover how their military backgrounds have equipped them with unique skills in leadership, communication, and problem-solving, which are now being applied to drive meaningful change in healthcare systems. Tune in to learn about the valuable lessons they've learned along the way and how they continue to impact the industry.
• Flattening the Anesthesia Subsidy Curve w/ Tim Hanners 02.09.2025 35min

  In this episode, we delve into the world of anesthesia subsidies with Tim Hanners, and it's profound impact on the healthcare system. Discover how these financial aids are reshaping medical practices, improving patient outcomes, and influencing healthcare policies. Join us as we explore expert insights and real-world examples that highlight the significance of these subsidies in making healthcare more accessible and efficient. Tune in to understand the transformative power of anesthesia subsidies in today's medical landscape.
• Perioperative Governance - Inside the PEC w/ Gerry Biala 02.09.2025 29min

  Join Stephen Spake, host of the Perioperative Playbook podcast, as he delves into the intricacies of governance within surgical suites. Featuring insights from Gerry Biala, a seasoned expert in perioperative services, this episode explores the formation and function of Perioperative Executive Committees (PECs) and their role in enhancing patient care. Discover how effective governance structures can streamline decision-making, align resources, and foster collaboration among clinicians and administrators. Tune in to learn about the critical elements of PECs and how they can transform surgical governance for better outcomes. #SurgicalGovernance #HealthcareLeadership #PatientCare
• Inside Surgical Services Consulting w/ Randy Heiser 27.08.2025 28min

  This conversation delves into the evolution and current state of surgical services consulting, focusing on the role of Sullivan Healthcare Consulting. Randy Heiser, the president, shares insights on the challenges faced by operating rooms today, the importance of experienced consultants, and the future of healthcare consulting, particularly in relation to anesthesia and ambulatory surgery centers.