title: ED leaders reverse poor flow trends.
abstract: A concerted effort by the Cambridge (MA) Health Alliance has slashed door-to-doc time in its three EDs from 90 minutes to 12 minutes, cut the rate of patients who left without being seen from 4.8% to less than .5%, and decreased the average length of stay 13% to 2.5 hours. "Patient partners" greet all patients and speak to them in their own language. The system pioneered the"no-diversion" approach in Massachusetts. Staff and space were merged to improve efficiency and increase flow.
mesh_terms: D017598:Efficiency, Organizational; D004636:Emergency Service, Hospital; D007857:Leadership; D008404:Massachusetts; D019982:Organizational Case Studies; D017060:Patient Satisfaction; D017749:Total Quality Management