Procedures analyzed
3
Preference cards
14
Estimated recapture opportunity
$612,000/yr
≈ ~370 additional lap chole cases funded at(SIMULATED assumption).
Off-contract MMC leakage
$57,552/yr
items with a Mohawk Medbuy contract equivalent
Supply cost per case by surgeon
Same procedure, different surgeons — the variance is the opportunity. Excludes clinical case-mix.
QBP = Quality-Based Procedure — fixed provincial price per case; every supply dollar saved is margin the hospital keeps.
If every surgeon matched the median for
Laparoscopic Cholecystectomy
$42,896
annualized recapture (SIMULATED)
≈ ~25 additional lap chole cases funded at(SIMULATED assumption).
Excludes clinical case-mix; the agent flags candidates, surgeons approve every change.
Biggest leak items across all cards
Picked ≥ 80% but used ≤ 25% — opened, never used.
| Surgeon | Procedure | Item | Unit cost | Picked % | Used % | Annual waste | |
|---|---|---|---|---|---|---|---|
| Dr. Y. Abadi | C-Section | Uterine balloon (backup) | $218 | 94% | 4% | $25,898 | |
| Dr. N. Iverson | C-Section | Uterine balloon (backup) | $218 | 94% | 4% | $25,114 | |
| Dr. C. Whittaker | C-Section | Premium adhesion barrier | $268 | 90% | 8% | $23,734 | |
| Dr. C. Whittaker | C-Section | Uterine balloon (backup) | $218 | 98% | 3% | $22,367 | |
| Dr. P. Brar | TKA | Cell saver setup | $218 | 96% | 12% | $20,509 | |
| Dr. L. Chen | TKA | Premium hemostatic matrixMMC #MM-2026-071 | $312 | 94% | 22% | $20,218 | |
| Dr. L. Chen | TKA | Cell saver setup | $218 | 98% | 8% | $17,658 | |
| Dr. Y. Abadi | C-Section | Hemostatic sponge (premium)MMC #MM-2026-071 | $148 | 92% | 11% | $15,824 | |
| Dr. N. Iverson | C-Section | Hemostatic sponge (premium)MMC #MM-2026-071 | $148 | 92% | 11% | $15,345 | |
| Dr. E. Vasquez | TKA | Cell saver setup | $218 | 96% | 12% | $15,016 | |
| Dr. C. Whittaker | C-Section | Hemostatic sponge (premium)MMC #MM-2026-071 | $148 | 96% | 6% | $14,386 | |
| Dr. J. Whitfield | Lap Chole | Endo GIA stapler reload (x2) | $118 | 100% | 8% | $10,422 | |
| Dr. P. Brar | TKA | Nerve block catheter kit | $118 | 90% | 12% | $10,308 | |
| Dr. K. Nakamura | Lap Chole | Cholangiogram catheter | $118 | 95% | 12% | $9,794 | |
| Dr. K. Nakamura | Lap Chole | Endo GIA stapler reload | $118 | 92% | 9% | $9,794 | |
| Dr. M. Okonkwo | Lap Chole | Premium retractor kit | $148 | 92% | 18% | $9,638 | |
| Dr. J. Whitfield | Lap Chole | Cholangiogram catheter | $118 | 92% | 14% | $8,836 | |
| Dr. E. Vasquez | TKA | Nerve block catheter kit | $118 | 90% | 12% | $7,547 | |
| Dr. J. Whitfield | Lap Chole | Fascial closure device | $92 | 92% | 11% | $7,154 | |
| Dr. P. Brar | TKA | Extra cement bag (spare) | $74 | 94% | 8% | $7,128 | |
| Dr. H. Bergstrom | TKA | Nerve block catheter kit | $118 | 90% | 12% | $6,995 | |
| Dr. M. Okonkwo | Lap Chole | Cholangiogram catheter | $118 | 88% | 22% | $6,853 | |
| Dr. L. Chen | TKA | Extra cement bag (spare) | $74 | 94% | 8% | $5,728 | |
| Dr. E. Vasquez | TKA | Extra cement bag (spare) | $74 | 94% | 8% | $5,218 | |
| Dr. K. Nakamura | Lap Chole | IOUS probe cover | $54 | 96% | 6% | $4,860 | |
| Dr. J. Whitfield | Lap Chole | IOUS probe cover | $54 | 95% | 8% | $4,510 | |
| Dr. P. Brar | TKA | Ice therapy wrap | $54 | 96% | 22% | $4,476 | |
| Dr. J. Whitfield | Lap Chole | Extra 5mm trocar (spare) | $48 | 94% | 6% | $4,055 | |
| Dr. M. Okonkwo | Lap Chole | IOUS probe cover | $54 | 90% | 10% | $3,802 | |
| Dr. L. Chen | TKA | Ice therapy wrap | $54 | 92% | 14% | $3,791 | |
| Dr. E. Vasquez | TKA | Ice therapy wrap | $54 | 92% | 14% | $3,454 | |
| Dr. K. Nakamura | Lap Chole | Skin stapler | $38 | 100% | 25% | $2,850 | |
| Dr. Y. Abadi | C-Section | Extra lap sponges (10-pack) | $18 | 98% | 8% | $2,138 | |
| Dr. N. Iverson | C-Section | Extra lap sponges (10-pack) | $18 | 96% | 12% | $1,935 | |
| Dr. F. Delacroix | C-Section | Extra lap sponges (10-pack) | $18 | 96% | 12% | $1,784 | |
| Dr. C. Whittaker | C-Section | Extra lap sponges (10-pack) | $18 | 100% | 10% | $1,750 | |
| Dr. K. Nakamura | Lap Chole | Bulb syringe | $9 | 98% | 10% | $792 | |
| Dr. J. Whitfield | Lap Chole | Bulb syringe | $9 | 90% | 12% | $674 | |
| Dr. M. Okonkwo | Lap Chole | Bulb syringe | $9 | 92% | 8% | $665 | |
| Dr. S. Patel | Lap Chole | Bulb syringe | $9 | 90% | 12% | $646 |