The most common last-minute slot killer in ASCs isn't the patient — it's a missing anesthesia sign-off. CaseFlow closes that gap with automated questionnaires, auto-flagged GLP-1 + DOAC conflicts, and a token-gated reviewer queue.
Labs come back clean. Insurance is approved. The patient confirmed. And at 5:45 AM, the anesthesiologist pulls the chart and sees an undisclosed Ozempic prescription — case bumped. Room goes dark. Surgeon leaves.
Three actors. Automated hand-offs. No login required for patients or reviewers.
At T-14d, the patient gets a text with a personal link. The 3-minute questionnaire covers STOP-BANG sleep apnea screening, cardiac history, current medications (GLP-1s and anticoagulants specially flagged), allergies, and prior anesthesia complications. Available in English and Spanish.
Every anesthesiologist on your roster gets a personal review link — no app download, no login. The queue shows questionnaire responses, auto-flagged risk items, STOP-BANG score, surgical procedure, and surgeon. One click to assign ASA class, Mallampati airway score, and decision.
The anesthesia dashboard shows every upcoming case across five columns: Awaiting questionnaire → Under review → Conditional → Cleared → Not cleared. KPI cards show % cleared for next 14 days and avg review turnaround.
When a case is Not Cleared, CaseFlow automatically fires a high-risk signal into the Cancellation Prediction Engine — the scheduler sees a red flag on the case and can act before the day of.
Anesthesia status is a first-class risk input. Not cleared = +85 risk points. Queued at T-7d = +25. Cleared = -8. Cases with missing anesthesia review bubble to the top of the risk queue automatically.
Anesthesia clearance is a required component for a patient to be considered "waitlist ready." An uncleared patient won't receive a same-day blast — saving you from a double problem.
The daily brief includes an "Anesthesia clearance gaps — next 7 days" section. Scheduler sees it at 7 AM before anyone has arrived.
The clearance dashboard now includes an anesthesia row alongside cardiac, labs, and PCP sign-off — one view of everything blocking a case.
CaseFlow closes the anesthesia clearance gap that every ASC has — without adding staff or changing how your anesthesiologist works.