Hospital & Unit Operations
N

nextOR

nextOR GmbH, based in Büren with an office in Berlin, sells nextOR Planning, a self learning program for operating room and multi resource planning in German speaking hospitals. It analyzes the parameters available in hospital systems together with past operations to predict case durations, builds the operating room schedule centrally, recalculates it live when staff are absent, emergencies arrive or a patient is canceled, and proposes a replacement case at once, with interactive dashboards, key figures and benchmarking down to the level of the procedure. The software is cloud based and connects to hospital systems through a bidirectional FHIR interface that also handles HL7.

nextOR reports more than 40 percent better precision on case duration, about 25 percent less overtime for operating room staff, more than 5 percent higher EBITDA with the same resources and more than 60 percent lower administrative planning costs. It announced an SAP partnership in March 2025 to reach hospitals in Germany, Austria and Switzerland, implements with UNITY AG and builds with NEXT Data Service as its technology partner, and takes part in two publicly funded research projects, one with Uniklinik Aachen on interoperable operating room devices and AI for planning. Marcus Goerke and Michael Ernst are managing directors.

AI Health Index verifiedOctober 12, 2026
Compare nextOR with other vendors
Founded
—
Headquarters
Büren, Germany
Website
www.next-or.de
Categories
hospital-operations
Indexed Products
nextOR Planning
Buyer Segments
Hospitals in Germany, Austria and Switzerland, Operating room management and nursing
Assessment

Capability Axes

An AI Health Index grade measures what a buyer can verify from public sources on the date shown. It is not a rating of how good the product is. A vendor can build an excellent system and grade low on an axis because it publishes nothing an outsider can check. How grades read

AI Capability
BB on AI CentralityThe model is the engine of a core module. The platform carries other value, but this capability does not exist without it.
Vendor Published

The learned part is the planning engine: nextOR Planning learns from past operations and every parameter the hospital's systems supply to predict case durations, then uses those predictions to build and rebuild the schedule and to propose a replacement when a case drops out.

Central booking, standardized process capture, dashboards and benchmarking add value of their own around that engine.

CC on Autonomy and Oversight ModelAutonomy is claimed and oversight is asserted without a mechanism. Human in the loop appears as a phrase rather than a described control.
Vendor Published

The software proposes operating room plans automatically and recalculates them live, giving operating room managers decision support and replacing a canceled case with a new suggestion, while planners keep central control through dashboards.

How a planner accepts, edits or overrides a proposed plan is not described.

CC on Model and Technology TransparencyThe architecture is described in general terms with nothing identified. Proprietary is asserted rather than explained.
Vendor Published

Planning is described as a self learning program that analyzes all available parameters from hospital systems and past operations, and that measures each deviation between predicted and actual duration to improve its model.

No model type, training data or version is named.

CC on Model Supply Chain DisclosureThe architecture is described and no model provider is named. Naming a hosting provider alone does not lift a record out of this band. Record the host in the note, because it matters for residency and breach scope, and grade on the model layer, which is the question this axis is named for.
Vendor Published

nextOR builds Planning with NEXT Data Service, an AI venture builder named as its technology partner, and partners with SAP and UNITY AG for reach and implementation.

No hosting provider or model supplier is named.

DD on Clinical and Operational EvidenceNo named deployment and no performance claim a reader can check. A figure published with no source sits here rather than higher.
Vendor Published

Reported results include more than 40 percent better precision on case duration, about 25 percent less overtime for operating room staff, more than 5 percent higher EBITDA at the same resources and more than 60 percent lower administrative planning costs.

The figures carry no hospital, period or method.

DD on AI Safety and PHI StewardshipNothing published on how protected information moves through the system.
Vendor Published

The software works with scheduling data drawn from hospital systems, including patient and case details needed to plan operations, in a cloud based service.

No statement covers how that patient data is held, kept or used for training.

Regulatory and Compliance
DD on HIPAA and BAA PostureNo statement of status and no privacy document that reaches the product. Both halves are absent at this grade: a service level privacy document on its own lifts a vendor to the band above even where no status is stated. A website privacy notice, including one that says it does not cover customer data, does not reach the product, so a vendor whose only document is that notice and who states no status grades here.
Vendor Published

Hospitals in German speaking Europe are the market, and the published privacy policy covers its website under the GDPR, including a processing agreement with its CRM provider.

No document describes how patient data in the planning service is protected.

DD on Security Certifications and Trust CenterControls are asserted with nothing independent behind them, or nothing is published. Read the note before concluding anything: this is the grade most often corrected on a second pass, because assurance material frequently sits on a parent domain or inside an old announcement rather than on the product pages.
Vendor Published

The product is described as a cloud based, paperless planning solution.

No security controls, certification or outside test are published.

CC on FDA and Regulatory StatusNo device claim is made and the product is scoped accordingly. Most administrative and operational products sit here and are not penalized for it, because this axis grades the appropriateness of the positioning rather than possession of a clearance.
Vendor Published

Planning is scheduling and resource software for operating room management and makes no device claim; it predicts durations and proposes schedules for planners rather than guiding treatment.

Clinical decisions about each patient stay with the surgical team.

DD on AI Governance and Bias DisclosureNothing published on how model behavior is governed or tested. Multilingual operation with no subgroup performance sits here when the vendor markets recognition quality as a strength, because a caller the system failed to understand leaves no complaint and no record.
Vendor Published

Prediction accuracy is tracked continuously against actual case durations, and the company reports its precision gain as a single figure.

No results are published by procedure type, surgeon or hospital.

CC on AI Liability and RecourseMechanisms exist that let someone challenge an output, such as audit trails, source traceability or review before commit, with nothing standing behind the output and no route for the harmed party.
Vendor Published

Every deviation between predicted and actual duration is measured and fed back into the model, and dashboards give planners live control of the schedule.

No accuracy figure with a method, warranty or remedy covers a wrong prediction.

Integration and Deployment
CC on EHR and Interoperability DepthIntegration is claimed through standards or a middleware layer with no system named and nothing to verify.
Vendor Published

A bidirectional FHIR interface, compatible with HL7 and other standards, connects Planning to hospital systems for case and staff data, and staff availability can be imported from rostering systems.

No hospital information system or live connection is named.

CC on Deployment Model and Data ResidencyA single hosted option with location implied rather than committed.
Vendor Published

Planning runs as a cloud based service connected to hospital systems over a FHIR interface, implemented with the hospital by nextOR's team and UNITY AG.

Where the service is hosted and where patient data rests is not stated.

Commercial
CC on Commercial TransparencyNo price is published and the posture is discoverable: a buyer can establish how the product is sold and what drives the cost before contacting the vendor. Most of the index sits here.
Vendor Published

nextOR sells Planning as a cloud solution implemented with its own experts and with UNITY AG, and says it typically pays back within a few months, with return calculated for each hospital from its own figures.

nextOR publishes no price or contract term.

CC on Setting and Specialty CoverageCoverage is claimed broadly without specifics, or stated clearly with nothing validating it yet.
Vendor Published

Operating rooms in hospitals in Germany, Austria and Switzerland are the setting, with tools for hospital management, operating room managers, nursing and surgeons, and benchmarking down to the procedure.

No hospital is named as a customer and results are not broken out by hospital or specialty.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Not published
Cloud solution implemented per hospital; payback is calculated from each hospital's figures. No price is published. No business associate statement; nextOR sells in German speaking Europe and publishes a GDPR website privacy policy. Not published. Implementation runs with nextOR's experts and UNITY AG. Vendor Published

No price is published. nextOR says Planning typically pays back within a few months.