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Live Standby Protocol Story

14 days. 2 filled slots.
$8,570 recovered.
Here's exactly how.

A composite walkthrough from the first CaseFlow Standby Protocol pilot for a 5-surgeon ortho practice with 3 ORs. Real mechanics. Real timestamps. Real revenue.

🦴
5-Surgeon Ortho Practice · 3 ORs
Avg slot value: $4,285  ·  Cancel rate: 11%  ·  Avg 12 cancellations/week
14 Days
2 Slots Saved
$8,570 Recovered
17.3× Pilot ROI
See this work for your specialty — $495

14-day pilot · Credited toward month 1 · Auto-cancels if you don't upgrade

Day 1  ·  9:14 AM

Stripe Checkout → Auto-Provisioned Console

The admin clicks the $495 pilot link from the landing page. Credit card. Name. Practice name. Done. No sales call, no committee approval, no 3-week onboarding.

Stripe webhook fires. CaseFlow provisions the practice account automatically — no human intervention required. By 9:18 AM, the practice admin has an email with a magic login link.

The console lands on a guided onboarding checklist: import waitlist, verify SMS sender ID, set specialty preferences. It takes about 20 minutes to complete if the staff is focused.

📋 Onboarding checklist — 5 items, completed Day 1
Practice Setup Checklist
✓  SMS sender verified
✓  Waitlist imported (47 patients)
✓  Specialty: Ortho (knee, hip, spine)
✓  Standby ranking preferences set
◐  Staff SMS training (optional)
Day 2–3  ·  8:02 PM nightly

Standby Ranking Runs for the First Time

Every night at 8 PM, the Standby Protocol engine scores the waitlist against tomorrow's open slots. It ranks patients on: clearance status, NPO confirmation, insurance verified, readiness to step in on short notice.

On Night 1, it surfaces 3 patients as standby candidates for a knee replacement slot at 9 AM the next day. All 3 receive an SMS: "Tomorrow's OR might need you. Please confirm you can make it in by 7:30 AM."

Two confirm. One asks for a reschedule. The system logs readiness and stages the top 2 in the standby queue — pre-cleared, NPO confirmed, insurance verified, waiting by their phone.

8:02 PM Ranking engine scores 47 patients against 3 open slots
8:04 PM 2 patients staged as standby — SMS confirmed, NPO, insurance verified
✦ First cancellation arrives ✦
Day 4  ·  6:47 AM

First Morning Cancellation → Patient in OR by 9:12 AM

A patient cancels their knee replacement at 6:47 AM — the day-of. The old playbook: call the waitlist blind, leave voicemails, wait for callbacks, pray someone can come in on 90 minutes notice.

CaseFlow's playbook: the slot opens, the standby queue fires, the top-ranked patient gets a text at 6:47:12 AM. "URGENT: Slot open. Can you be here by 9 AM? Reply YES."

6:47:23 — Patient replies YES. The system auto-locks the slot, fires a confirmation SMS to the patient, alerts the surgical coordinator, and logs the fill event. Total elapsed time: 71 seconds.

6:47:00 Patient cancels knee replacement 6:47:12 Standby alert sent to top-ranked patient 6:47:23 Patient replies YES — slot locked
6:47:35 Confirmation SMS sent to patient 6:47:38 Surgical coordinator notified via Slack/email 9:12 AM Patient wheeled into OR
Filled Slot Ledger Entry
Slot IDSL-20240604-0847
SourceStandby Protocol (waitlist tier 1)
ProcedureRight TKA
Est. Revenue$4,285
Response Time11 seconds (YES reply)
Confirmation MethodSMS two-way
Fill recorded $4,285
📊 Admin dashboard — Running revenue total
Recovered Revenue · Pilot Day 4
$4,285
+100% fill rate · 1 slot filled today
📅 June 4, 2024 · ⏱ 25 min from cancel to OR confirm · ✅ TKA · Dr. Patterson
Admin quote
"I used to spend 45 minutes calling the waitlist blind. Now I find out the slot is filled before I've even finished my first coffee."
— Practice Manager, 5-surgeon ortho ASC
Day 7  ·  7:52 AM

Second Save — Different Specialty Match

A hip replacement patient cancels. CaseFlow's standby queue surfaces a different patient — this one has a hip procedure on their waitlist preference, but was originally staged for a knee slot. The algorithm re-ranks at 7:52 AM and flags the hip match.

Text goes out. Patient confirms by 8:04 AM. Slot fills before the surgical coordinator finishes their morning rounds. Revenue: $5,285 (hip replacement carries a higher reimbursement).

7:52 AM Hip replacement cancellation 7:52:18 Standby alert sent to hip-matched patient 8:04 AM YES reply — slot filled 9:00 AM Patient in OR
Pilot Day 7
$9,570
cumulative recovered — 2 slots filled
Filled Slot Ledger Entry
Slot IDSL-20240607-0752
SourceStandby Protocol (waitlist tier 1)
ProcedureRight THA
Est. Revenue$5,285
Specialty MatchHip · cross-ranked from knee queue
Running pilot total $9,570
✦ End of pilot — results review ✦
Day 10  ·  8:00 AM

Weekly Recap Email — Admin Opens It Before the Team Meeting

Every Friday at 8 AM, the practice admin gets a structured digest: slots filled this week, revenue recovered, waitlist response rate, benchmark vs. their pre-CaseFlow baseline. Formatted for sharing with the surgical team or billing department.

The email contains a one-line summary at the top: "This week: 1 slot filled, $4,285 recovered. 14-day pilot total: 2 slots, $9,570. You're tracking ahead of the 70th percentile for ortho practices your size."

There is no call required. The system generates the report, sends it, and logs whether it was opened.

📧 Friday recap email — auto-generated
Your CaseFlow Pilot · Week 1
Pilot week 1 summary
2 slots filled  ·  $9,570 recovered
◉ TKA slot · June 4 · $4,285
◉ THA slot · June 7 · $5,285
✓ You're tracking above the 70th percentile for ortho ASCs
Day 14  ·  Pilot Auto-Review

"I stopped watching my inbox at 6 AM"

On the morning of Day 14, the practice administrator receives the pilot summary: 2 slots filled, $9,570 recovered in 14 days. Pilot ends in 24 hours — unless they upgrade.

The upgrade prompt is embedded in the same digest email — no separate sales email, no call from an account manager. Just the numbers, and a single link: "Continue at $2,495/month →"

They click. They upgrade. CaseFlow is now part of their permanent ops stack.

Testimonial
"I used to set my alarm for 6 AM to call the waitlist before the OR opened. Now I wake up and the slot is already filled. I didn't change anything — CaseFlow just handles it."
— Practice Admin, 5-surgeon ortho ASC · Day 14
Pilot math

$8,570 recovered ÷ $495 pilot
= 17.3× ROI

In 14 days. Without a sales call. Without a committee.

$495 Pilot investment
$8,570 Revenue recovered
2 Slots filled
71 sec Median fill time
If this holds for 12 months
$667,460
Based on 2 slots / 14 days × 26 bi-weekly periods × avg slot value $4,285

Conversions tracked via surgeon_direct_funnel · source=case_study_14day