Vital Operational Waiting Risk for Healthcare Systems R package VOWR version 0.1.0 Vital Operational Waiting Risk (VOWR) provides tools for analysing monthly Referral-to-Treatment (RTT) panel data in healthcare systems. The package supports provider-level profiling, operational risk classification, waiting-time volatility assessment, Kaplan-Meier survival analysis, Cox proportional hazards modelling, and visualisation of time-to-threshold breach patterns. It is designed to help analysts and decision-makers identify providers with high waiting times, unstable performance, and increased risk of earlier threshold breach. The survival modelling methods follow Cox (1972) <doi:10.1111/j.2517-6161.1972.tb00899.x> and Kaplan and Meier (1958) <doi:10.1080/01621459.1958.10501452>. Software Imports: dplyr, ggplot2, survival, stats, utils, survminer Suggests: testthat (>= 3.0.0), Muhammad Zahir Khan <zahirstat007@gmail.com> Comprehensive R Archive Network (CRAN) Muhammad Zahir Khan [aut, cre] (ORCID: <https://orcid.org/0009-0005-7645-8960>) MIT + file LICENSE (https://CRAN.R-project.org/package=VOWR/LICENSE) 2026-05-20 application/tgz https://CRAN.R-project.org/package=VOWR doi:10.32614/CRAN.package.VOWR