We think our hospital has come up with a solution to the challenge facing most every OR: How to align the incentives of surgeons and anesthesiologists who are paid by the case with those of staff who are paid by the hour. We've found you can do just that by

• creating special incentives for your surgical services team in such areas as turnover time, first-case starts and supply costs, and
• motivating your doctors to be agents of change and to help with the cause.