At MB Adults, we are thrilled to announce our ongoing growth and the onboarding of new surgeons who are pioneering cutting-edge procedures. Our comprehensive services include Urology, Gyn/Onc, Gyn, Hepatobiliary, Colorectal, Breast, Plastics, OHNS, Ortho Onc, Ortho, OB/GYN, Neurosurgery, Rad Onc, IR, NeuroIR, GI, MRI, PET, HIFU, and REI. Over the past year, we have experienced significant growth across various departments: a 6% increase in Operating Room (OR) utilization, a 13% rise in endoscopy procedures, and a 9% uptick in NORA (Non-Operating Room Anesthesia) cases. Our robotic surgery capabilities have been enhanced with four Xi platforms and one Sp platform, enabling us to perform more precise and minimally invasive surgeries. Our NORA services have expanded to include MRI, PET, HIFU, IR, REI/IVF, and Rad Onc, the latter having fully transitioned to PCMB. Specifically, PCMB L1171 now handles rad-onc brachytherapy cases on Mondays, Tuesdays, and Thursdays, with the additional Tuesday slot easing the load on our MB OR. OR#27 is now dedicated to advanced endoscopy cases five days a week, reflecting our commitment to providing specialized care. Our Neuro IR team has broadened its patient selection to incorporate simple treatments requiring overnight ICU admissions. Interventional IR is optimizing utilization by scheduling liver and kidney ablation cases, thereby reducing the volume at Parnassus. We are also proud to highlight our MAPS cases, which involve complex obstetric patients needing specialized care from our Mission Bay Anesthesia team. This ensures that every patient receives the highest level of care tailored to their unique needs. Our continued growth and the expansion of our services underscore our dedication to advancing medical care and improving patient outcomes at MB 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 contribute to this project. MAP Cases at MB Here are our MAPS (Multidisciplinary Approach to the Placenta Service) numbers up through January 2024. Ruled Out Ruled In In Process 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 (to 1/22) 2 4 7 13 Lee-lynn Chen, MDVice Chair and Chief of Anesthesia, Mission BayMedical Director, Mission Bay Clinical highlights Adult Critical CareBayfront Surgery Center and POSCBCH OaklandClinical AffairsMission Bay AdultMount Zion Surgery CenterObstetric AnesthesiaPain MedicinePediatric AnesthesiaUCSF Orthopaedic InstituteVA Health Care SystemZuckerberg San Francisco General