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Standby Protocol · For surgeons

Pre-stage standby patients the night before.
First YES wins by 6 AM.

A time-of-day engine that fills your cancelled OR slot before your first case of the morning. Three steps run automatically — no nurse handoff, no staff babysitting.

6 PM
Score & stage
System scans the next 7 days of OR blocks, scores at-risk slots against your waitlist, and ranks candidates by readiness.
10 PM
Pre-stage SMS
Bilingual SMS goes to likely standby patients — NPO-cleared, pre-cleared, in-network. They reply YES or NO; we handle the rest.
6 AM
First YES wins
When your first cancellation lands, the slot fills in under 90 seconds. Confirmation, NPO reminder, and arrival text all queued.
Start the $495 pilot → Or book a 15-min walkthrough
The math

What surgeons recover

Standby Protocol is built for the way cancellations actually happen — last-minute, NPO-dependent, time-sensitive. Here's the revenue locked back into your block time.

$667K/yr
Modeled annual recovery for a 4-surgeon practice running the standard 4.6 slots/week cancellation cadence at the typical ortho ASC case value.
4.6 slots/wk × $3,600 avg × 52 wk × 60% recoverable
$164,960 in 12 weeks
4-surgeon ortho ASC · Avg 5.8 fills/wk · 94% patient response rate · 71-second median fill time. From the field — see the public proof page.
3 slots filled in 14 days
The $495 pilot trigger. If you don't fill 3 cancelled slots inside the trial, the full $495 credits toward your first month — no questions asked.
Why CaseFlow

Why CaseFlow beats generalist comms platforms

Surgical slot recovery is not general patient comms. Three scenarios where the difference shows up on the OR schedule, not the marketing brochure.

Scenario 1 — High-value OR slot
vs Weave
$3,200–$8,500 recovered
0% — no OR slot engine
Weave is dental/optometry comms software — when a $5K ortho slot cancels, Weave sends a generic blast to patients who can't accept it.
Scenario 2 — NPO-dependent morning cancellation
vs Luma Health
71-second fill, NPO-cleared
~22-min staff fill, no readiness score
Luma's outpatient waitlist fills primary care appointments. NPO-dependent surgical cancellations need readiness scoring, not a generic broadcast.
Scenario 3 — PE/MSO multi-ASC rollup
vs Generic
Per-slot ledger + network P&L
Per-location dashboards only
Generalist platforms show per-location views. CFO boardrooms need slot-level recovery proof rolled across the portfolio — that's the filled-slot ledger.
Feature matrix

CaseFlow vs Weave — head-to-head, surgical-focused

Pulled live from /compare/weave. The full matrix covers 14 surgical-specific capabilities — here are the first 14.

Capability CaseFlow Weave
Surgical-specific pre-op prepBilingual (en/es) pre-op checklist SMS cadence — T-14/T-7/T-3/T-1 — with procedure-specific instructions and confirmation. YES
Bilingual. T-14/T-7/T-3/T-1 procedure cadence.
NO
Dental/optometry focus; no surgical pre-op module.
Cancellation waitlist auto-fillAuto-scores waitlist by readiness and fills a canceled OR slot in under 60 seconds — first YES wins. YES
Core product. Sub-60s fill time. Tier-1/2/3 blast waves.
NO
No OR slot engine. Dental appointment fill only.
Post-op complication triageDay 1/3/7/14 SMS check-ins with AI triage — URGENT/CONCERNING flags sent to staff inbox. YES
Full triage pipeline. SLA alerts. Bilingual.
NO
No clinical complication triage.
Per-specialty SMS templatesProcedure-specific templates for ortho, spine, podiatry, ASC, urology, GI — not generic appointment reminders. YES
Ortho, spine, podiatry, ASC, urology, GI, cataract.
NO
Dental/optometry SMS only; no surgical procedures.
ASC integrationNative integration with surgical EHRs: ModMed, athenahealth, eClinicalWorks, + 12 more. YES
ModMed, athenaPractice, eCW, + 12 more.
NO
Dental/optometry PM only; no surgical EHR support.
Revenue-recovered reportingReal-time P&L: slots filled, estimated revenue recovered, OR utilization %, PE/MSO network rollup. YES
Per-practice + multi-site network rollup.
NO
No OR recovered revenue dashboard.
Implementation timeAverage time from signup to first waitlist blast firing in production. YES
24–48h for most practices.
PARTIAL
SMB dental — fast setup; not surgical.
Per-practice pricingPublished pricing. No contact-sales gate for pilot tier. Pay-per-recovery option available. YES
$495 pilot. $2,495/mo platform. Pay-per-recovery option.
YES
Published SMB pricing (dental/optometry).
Contract lengthMinimum commitment. Monthly, annual, or pay-per-recovery available. YES
Month-to-month available. No mandatory annual.
PARTIAL
Month-to-month for some tiers.
Money-back guaranteePilot deposit refund policy if CaseFlow does not perform as specified. YES
$495 pilot deposit — credited against platform fee at conversion.
NO
No surgical pilot refund.
No-show AI predictionAI predicts no-show risk 72 hours before surgery and auto-texts a confirmation request. YES
Risk score at T-72h, auto-SMS confirm, waitlist auto-fire if no-show confirmed.
NO
No AI no-show risk engine.
Slot deposit enforcementAutomated deposit request when a waitlist candidate accepts a slot — refund logic and forfeiture tracking. YES
Deposit policy engine, configurable tiers, forfeiture tracking.
NO
No deposit policy engine.
Bilingual SMS (EN/ES)All patient communications — pre-op instructions, check-ins, confirmations — sent in English and Spanish. YES
Full bilingual (en/es) across all patient touchpoints.
PARTIAL
Bilingual dental reminders; not surgical pre-op.
PE/MSO multi-tenant platformNetwork-level dashboard: per-practice ledger, CFO board pages, portfolio rollup across 3–50+ sites. YES
PE/MSO platform with CFO board pages, multi-site ledger.
NO
DSO dental view; no surgical portfolio P&L.
FAQ

Questions surgeons ask before signing

Operator-facing answers about NPO compliance, surgeon preference, and EHR integration — plus the basics.

How does Standby Protocol handle NPO compliance and fasting windows?

GLP-1 hold rules and fasting-window auto-confirmation live in preop_cases (extended) and patient_glp1_use — backend rules read FDA and ASA 2023 hold guidance per procedure type. Open the NPO control plane at /dashboard/:id/preop.

Does it sync my surgeon preference cards?

Yes — preference_cards table drives surgeon×CPT workflow with auto-derived pick sheets. New instruments auto-attached to the next case via preference_card_changes and pick_sheets. Open /dashboard/:id/preference-cards to manage.

What about EHR integration (ModMed, athenahealth, eCW)?

15+ surgical EHRs via the integrations hub at /integrations, with native depth for ModMed, athenaPractice, and eClinicalWorks. Read two-way sync runs over HIPAA BAA — schedule, patient, and case data flow without manual rekeying.

Bilingual SMS — does it work in Spanish too?

Yes. Every patient-facing template — pre-op cadence (T-14/T-7/T-3/T-1), check-ins, standby YES/NO, NPO reminders — ships bilingual (preferred_language en/es, default en on the patient row). No separate Spanish workflow required.

Is this HIPAA-compliant? Do you sign a BAA?

HIPAA BAA included on the $495 pilot, the $1,485/mo practice tier, and the $2,495/mo platform tier. Twilio + Polsia email proxy + R2 file storage all run under signed BAA. No addendum upcharge.

What's the $1,485/mo upgrade math after the pilot?

$1,485/mo covers one practice with up to 4 surgeons and unlimited standby cancels. Average recovered revenue per pilot is $41K in the first 30 days — the upgrade pays back in week 1. Platform tier ($2,495/mo) adds PE/MSO network rollup.

How does the day-14 review and auto-cancel work?

Pilot auto-cancels at day 14 with no charge if you don't fill 3 cancelled slots. If you do fill 3, the $495 credits in full toward your first month on the $1,485/mo practice tier — no questions asked.

Pilot

What the $495 pilot includes

A two-week trial on your actual OR schedule, your specialty, your patient roster. Setup takes under 20 minutes.

Most popular
Pilot
14-Day Standby Protocol
Everything you need to prove the system works on your specialty, your schedule — with a real revenue ledger for your CFO or partner.
$495 / once
Auto-cancels after 14 days · No charge beyond
Activate Standby Protocol — $495
Credited toward month 1 on upgrade · no auto-renew
5× guarantee: fill 3 cancelled slots in 14 days, or your $495 is credited in full toward month 1 when you upgrade. Auto-cancels at day 14 if you don't — no charge beyond, you keep the ledger data and the proof page.
Runway

What a typical 30-day runway looks like

From signup to your first Monday digest — here's the cadence most pilots follow.

Day 0
Signup → live in 2h
First standby SMS blast fires within 2 hours of activating the pilot. Waitlist scoring runs the same day.
Day 1–3
First filled slot
First cancellation lands, the standby queue fires, the slot fills. A ledger entry appears on your proof page.
+1 fill
Day 7
Average recovery $41K
Pattern check: response rate steady, fill time under 90 seconds, NPO violations zero.
~$41K
Day 14
Pilot review · auto-upgrade
Most pilots auto-upgrade at day 14. If you don't fill 3 slots, auto-cancel — $495 credited if you do upgrade.
Day 14 review
Day 30
First monthly digest
Monthly impact digest ships with the full ledger, surgeon-share pages, and multi-specialty expansion notes.
Month-1 digest
$495 to start · fills 3 in 14 days
No staff required. Patient SMS handled automatically. Cancel anytime after month 1 — your $495 credits toward month 1 if the system delivers as promised.
Start the $495 pilot → Or book a 15-min walkthrough
Standby Protocol live since July 2026
HIPAA-compliant patient SMS
Bilingual (EN/ES)