Appendix OO – OR Biopsies

5.2.4
Surgical Procedures in the Operating Suite.
At all times, the supervising
physician, who is a member of the Medical Staff, shall be responsible for surgical
procedures in the operating suite, including authorizing a resident or sub-
specialty resident, as may be appropriate, to initiate an emergency procedure. In
all cases, the supervising physician shall be physically present in the operating
room as soon as possible after the start of an emergency procedure and during all
key portions thereafter and shall be physically present at the start of a scheduled
or non-emergent procedure and during all key portions thereafter.
The
supervising physician is ultimately responsible for each patient’s care, including
that care rendered by sub-specialtv residents, residents or medical students.

Combo Cases
Surgeons and Office Schedulers
Epic
SSMHealth
Primary Surgeon
Primary surgeon is the surgeon who is primarily responsible for patient care and will be receiving block credit for
the procedure. This surgeon is generally performing the most significant procedure.
• Primary surgeon completes the Case Request order form, including all required information.
• The primary surgeon’s office reaches out to the other service(s) involved in the combo case to coordinate
a procedure date and time, and provides the Case ID.
Case 3523 - 24 minutes (Not Scheduled)
BS Schedule Open Times * Cancel X Void i Patient -
General Information
• General Info
Date:
10/5/2025
• Primary surgeon office completes all other standard Case Entry tasks related to the procedure performed
by their surgeon.
Partner Surgeon Office
Partner Surgeon is the surgeon who performs an additional procedure but will not be the surgeon whose block
time is utilized or who receives block credit for the case.
• The partner surgeon’s office can locate a case by searching for Open Case and using the Case ID provided
by the primary surgeon’s office.
• In the search bar at the top of your screen, type Open Case and select the Open Case activity.
• OPEN CASE
Activities
• Open Case - Toolbar
Search UPEN CASE In…
• Agelytics Catsiog
a 9
Enter the Case ID in the Case ID field and hit Enter.
• Double-click on the case from the search results to open the case in Case Entry.

Select Case
Patent
Location:
Start Date:
Clear Search
Priorty Case #
889
Date
10/27/2025
Case ID:
Provider:
End Date:
Patient
Banana, Brianna DPHC (883979]
Show past cases?
Lead Surgeon
Timely, Hunter, MD [TRN100)
• Partner surgeon office access case entry to input any necessary information relevant to their respective
surgeons (e.g., procedure name). This includes adding panels for each surgeon, ensuring they are in
chronological order.
This information must be entered by creating a second panel on the primary case request order.
Paral 1 - General
Total Theme
STITCH, MATIN
Ron PascedusiCade
1 APPENDECTONY POULT) /TERI
44050 (CPTE)
APPENDECTOMY COVETS
• 0
All Precedes
AM Bond
• Partner Surgeon office should ensure that primary and secondary panels are in chronological order based
on the timing of the procedures.
• If this is not possible, ensure Primary Surgeon office communicates the order to the OR Schedulers
when marking the case Ready to Schedule.
• Partner Surgeon office should ensure that the Primary Surgeon’s service is designated in the Service field.
• Partner Surgeon office should ensure all information is entered into the second panel and confirm
completion to the Primary Surgeon office. This includes the procedure start and stop times.
TCH. MAHA
• APFENDECTOMY (ADULT) (NIA| 14-250 (CPTRE
Sate: 1
Lengh: 55
Paral 2 - Geraral
Role
TELY, HUNTER
Primary
Service
Camel
Start Tree
End Tree
Total Time
36
Foe
Precedere Code
Codes
LAFHROSCOFIC REPAIR FEMORAL HERNIA 15857]
4959(07181
Precedere Descripilen
Card Laterally
LAPNROSCOFIC REFVIR FEMORAL HERNA • MA
Anshanie
General
Abdomen
Lengh Ps.. Det
• • v
Fooden Set
68
Bor Preekoen Pen
With Previews Pared

• Add Dene

• Reen ope Pareh
  Sem saM at sal procedure lead
  Proceduss lagans have bian modied
  we Tank
  1 -
  Panel 1- General
  Tatal Procedure: 40 -
  Panel 2-Oerene
  Total Precedure: 28 2
  Revised On: 10/27/2025

Primary Surgeon Office
Once the primary surgeon’s office is notified that all information is complete, they click the Ready to Schedule
button.
• Review case to ensure that primary and secondary paneb are in chronological order based on the timing
of the procedures.
• If this is not possible, communicate the order to the OR Schedulers when marking the case Ready to
Schedule.
Appendix
Description
Overview: Combined Cases are entered into ONE Case
Rednet corethtud planet, encinic schedules will Ton, may ner it plan ton
The primary surgeon will complete the case request order
ald in the correct entry of panels, ensuring they are
entered in chronological order.
• Note: The order of panels and correct panel lengths are
critical entry points to avoid resource conflicts that can
The primary surgeon’s office reaches out to the other
2 percedure date and me, and provide he caine a
procedure date and time, and provides the Case ID.
prevent surgeries from occurring or lead to day-of delays.
Roles/Responsibilities:
• Primary Surgeon: The Surgeon who is primarily
responsible for patient care and will be receiving block
credit for the procedure. This surgeon is generally
performing the most significant procedure.
• Partner Surgeon: The Surgeon who performs an
additional procedure but will not be the surgeon
whose block time is utilized or who receives block
credit for the case.
Owner
Primary Surgeon
Primary Surgeon
Office
The other services will access case entry to input any necessary
information relevant to their respective surgeons (e.g.
3 procedure name).
Partner Surgeon
Office
• This includes adding multiple panels for each surgeon,
ensuring they are entered in chronological order.
4 The partner sure that i normation has be e
primary surgeon’s office that their information has been entered
Partner Surgeon
Office
and is complete
Once the primary surgeon’s office is notified that all
5) information is complete, they wil salect the “Ready to
Primary Surgeon
Office
Schedule” button.
Expected
• Increased accuracy in combo cases
• Consistent and accurate communication between the clinics
Outcomes:
and the financial Clearance Teams
Linked to the following Learning Home Dashboards: N/A
©2025 Epic Systems Corporation. Confidential.
Revised On: 10/27/2025