ED was well prepared for no-diversion law.
When the state legislature gives you four-months' notice of passage of a no-diversion law, it's impossible to get ready in time, unless you've been working for several years on improving flow in your ED. The new triage process at Massachusetts General Hospital hit its stride just in time, and other departments made changes as well. The new triage process includes having an attending out front 12 hours a day, a resident in screening eight to 10 hours a day, and a nurse practitioner working 12 hours a day. A satellite lab operates in the ED on a 24/7 basis. A radiology attending is provided to the ED on a round-the-clock basis.
D000552:Ambulances; D017598:Efficiency, Organizational; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006769:Hospitals, General; D008404:Massachusetts; D010360:Patient Transfer / Q000331:legislation & jurisprudence*; D014218:Triage