Dr. Jake Tayler Jacobs

We've done it.

We run them.

They're just rare because most organizations have never seen them and can't imagine them.

SPD is a call center, not a strategic asset.

This belief determines everything.

How much attention SPD gets, how much investment, how much respect.

But think about it.

SPD directly enables surgical revenue.

It's not opinion.

It's a fact.

Every case delay, every frustrated surgeon, every quality event has a financial impact.

The department isn't just a cost.

It's a constraint on your most profitable service line.

The OR will never be satisfied.

And this one poisons the relationship between SPD and surgical services.

It creates an adversary adversarial dynamic where both sides stop trying because they've decided the problems are unsolvable.

But the OR is dissatisfaction is a signal, not a character flaw.

It's telling you something is broken, dismissing it as inevitable guarantees it will never be fixed.

And what Gertzner did.

And what you need to do, Gertzner didn't fire everyone.