At Mission Bay, our comprehensive services include Breast, Colorectal, Gastrointestinal, Gynecology, Gynecologic Oncology, Hepatobiliary, High Intensity Focused Ultrasound (HIFU), Interventional Radiology (IR), Neurosurgery, Obstetrics/Gynecology, Otolaryngology Head and Neck Surgery (OHNS), Orthopedics, Orthopedic Oncology, Plastics, Radiation Oncology, Neuro-interventional Radiology (NeuroIR), Magnetic Resonance Imaging (MRI), Position Emission Tomography (PET), Reproductive Endocrinology and Infertility (REI), and Urology. Several surgical services have added new surgeons this past year. This proved challenging given our already high block utilization rate of 77%. We have worked to move some of our outpatient volume to the new Bayfront Medical Building to make room for inpatient growth. Additional services from Mount Zion (radiation oncology and ophthalmology) will be moving to Mission Bay as part of a strategic alignment of available resources. Over the past year, we have experienced growth across various departments: a 3% increase in Operating Room (OR) volume, a 15% rise in endoscopy procedures, and a 5% increase in NORA (Non-Operating Room Anesthesia) cases. Our robotic surgeries remain busy, and we will be adding a 5th Xi platform (with one Sp platform), enabling us to perform more precise and minimally invasive procedures. Our continued growth and the expansion of our services underscore our dedication to advancing medical care and improving patient outcomes at Mission Bay Adults. Finally, we continue enrollment for the THRIVE trial, evaluating the differences between total intravenous anesthesia (TIVA) versus inhaled volatile anesthesia (INVA). We are one of the first sites to gain approval and continue to contribute to this project. MAPS Cases at MB Here are our MAPS (Multidisciplinary Approach to the Placenta Service) numbers up through December 2024. Ruled Out Ruled In Total Patients Patients/Month 2018 12 10 22 1.8 2019 31 22 53 4.4 2020 22 23 45 3.75 2021 34 21 55 4.6 2022 50 30 80 6.7 2023 45 20 65 5.4 2024 44 23 67 5.6 Lee-lynn Chen, MDVice Chair and Chief of Anesthesia, Mission BayMedical Director, Mission Bay Clinical highlights Adult Critical CareAmbulatory Surgery CentersBCH OaklandClinical AffairsMission Bay AdultMount Zion Surgery CenterObstetric AnesthesiaPain MedicinePediatric AnesthesiaUCSF Orthopaedic InstituteVA Health Care SystemZuckerberg San Francisco General