Healthcare · Perioperative planning

Automate and optimize operating room scheduling

Every hospital has a system that records which case goes into which room. Almost none has anything that decides which case should go there, in what order, staffed by whom. Let's solve that.

One solve assigns every case to a room, an order and a team

Timefold solves case assignment, sequencing and staffing as one optimization problem. Surgical privileges, anesthesia ratios, equipment and turnover are enforced as hard constraints, so every schedule is compliant before it reaches the OR. When a case overruns, the remaining day is replanned around the work already committed.

Where Timefold goes beyond legacy scheduling software

Four things decide whether an OR day works. Timefold bakes them into the engine, guaranteeing compliant schedules every time.

Regulatory rules stay unbreakable

Surgical privileges, anesthesia ratios, and supervision limits are built-in hard rules. Every schedule is guaranteed compliant before it ever reaches the OR.

The day reflows around a late case

When a surgery runs long, the model instantly replans the rest of the day in real time, protecting committed cases and flagging downstream delays while you still have time to fix them.

Staffing is solved with the schedule

Case schedules and staff rosters are solved simultaneously. Procedures are only booked where qualified nursing and anesthesia coverage actually exists.

Block policy becomes measurable

Simulate block allocations against real utilization before you commit, and let the system automatically release unused block time at your deadline horizon.

Hand-built schedules shouldn't run the most expensive room in the hospital

The OR carries a large share of a hospital's revenue and its operating cost, and a manual schedule spends both.

$35

Estimated cost of one OR minute

An empty room bills nothing and still costs this.

75-85%

Ideal room utilization

Most fall below that, wasting money on empty ORs.

30 min+

Turnover between unlike cases

Grouping similar surgeries cuts this delay, making turnover a scheduling choice.

3 in 4

Cases get rescheduled

Usually because a case ran longer than the schedule predicted, and the rest of the day inherited it.

Constraints the model expresses today

Case duration and sequencing

Order cases against their expected duration, so start and end times follow from the sequence and an overrun is absorbed instead of cascading.

Room capability

Place each case in a room able to support that procedure.

Surgeon privileges and availability

Assign a case only to a surgeon credentialed for that procedure and free at that hour.

Anesthesia and nursing rosters

Book procedures only where qualified anesthesia and nursing coverage exists, inside the supervision limits that apply.

Equipment and instrument trays

Hold the equipment and instrument trays a procedure needs, and avoid overlap when they are shared between rooms.

Turnover and cleaning time

Reserve the cleaning and setup time each transition needs, and group similar surgeries to cut it.

Priority and waiting-time targets

Bring urgent and long-waiting cases forward before elective work fills the day.

When scheduling works, everything works.

Less waste. More control. Teams that trust the plan.