Aurora, Colorado To improve access and flow, the Children's Hospital Colorado, Anschutz Emergency Department team redesigned the front end which introduced Care Progression Chairs, vertical care, standardized roles and earlier assessment and treatment without adding staff or space. Following implementation, roomed-to-disposition time

Orange, California Children’s Hospital Orange County operates a 31-bed emergency department that cared for 110,000 patients in 2025 and had an average daily census of 302 patients. Despite high patient volumes and limited bed capacity, fewer than 1 percent of patients left

Neptune, New Jersey Jersey Shore University Medical Center is located on the famous Jersey Shore in New Jersey, a popular summer vacation town that sees seasonal volume increases. The department implemented the use of a “pivot” nurse in order to have rapid

Bonita Springs, Florida The NCH Bonita Springs Freestanding Emergency Department, part of Naples Comprehensive Health, is a 12-bed facility staffed by a lean, but highly skilled interdisciplinary team. A recent key initiative was redesigned team workflows during high-acuity and overlapping emergencies. Nurses

Miami, Florida The Nicklaus Children’s Hospital Emergency Department implemented a comprehensive throughput strategy focused on daily performance reviews, interdisciplinary huddles, real-time census monitoring and hospital-wide escalation processes. ED leaders, operations administrators, providers and nursing teams collaborate throughout the day to proactively address

Port Jefferson, New York Front-line nurses at Northwell Health Mather Hospital led an initiative that improved nurse communication and patients’ understanding of discharge medications. The nurses developed easy- to-understand medication pamphlets, which are now incorporated into the discharge process to provide consistent

Grayslake, Illinois The Northwestern Medicine Grayslake Freestanding Emergency Department improved patient “Likelihood to Recommend” performance through a multidisciplinary approach focused on communication, wait-time management, service recovery and patient-centered care. Leaders and front-line staff partnered to review patient feedback, implement targeted improvements, recognize

Escondido, California At Palomar UC San Diego Health Escondido, a primary initiative in the emergency department has been the creation of a dedicated Pediatric Critical Care Room to improve the care of critically ill and injured children. Recognizing pediatric emergencies occur infrequently

St. Paul, Minnesota At Regions Hospital, emergency department nurses partner with community organizations to address social determinants of health and improve outcomes beyond the hospital walls. Through a bedside violence-intervention program, survivors of gun violence are connected with trained community responders who

Solvang, California Shared governance and collaborative decision-making enabled emergency department staff at this 8-bed critical access hospital to improve care for acute stroke patients by identifying and addressing unnecessary transfers for MRI imaging. Through interdisciplinary collaboration, staff proposed extending local MRI hours