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Feel overcrowded? Need more inpatient beds, nurses? Do you realize you may be hemorrhaging millions because of FIXABLE problems with flow and length of stay? Don’t add a single bed or staff member until attending this conference. Maybe you won't need any.


There are 100’s of process improvements for flow, but only a handful actually work to FIX problems associated with an apparent lack of sufficient inpatient beds. Before you launch another initiative or hire another consultant, learn about the key processes that work (and ones that don’t), with practical advice from hospital experts with first-hand experience.


Join the leaders in hospital flow at the Innovation Leadership Challenge: Collaborating to Improve Hospital Flow, Save Lives and Reduce Costs pre-conference which offers battle-tested solutions so you can:

  • Improve efficiency in the ED, the hospital, and the OR
  • Reduce PACU boarding and bumping of surgical cases
  • Improve ICU bed access
  • Reduce or eliminate boarding of admitted patients in the ED
  • Improve safety measures such as hospital acquired infection, mortality, re-admissions, and other core measures
  • Reduce costs associated with inpatient care
  • Improve patient satisfaction with overall hospital care
  • Dramatically increase revenue by improving flow through the hospital
  • Decrease length of stay for inpatients and emergency patients
  • Reduce nursing burnout
  • Enjoy these improvements without any increase in staff or resources


Don’t waste your time with ineffective solutions. This conference focuses on the true “home runs” of flow improvement, with real life examples and practical advice. Adopting the practices described in this conference will reduce or entirely eliminate boarding, free up beds and staff, improve throughput, enhance patient satisfaction and safety, and sharply reduce costs.


Make plans to join us, so you can begin to make dramatic improvements in capacity and patient safety, all with decreased costs to your hospital. Included in this activity are practical workshops that will help the participants move from “what” to “how to make it happen”.


Registration Fees: $375 or a $100 discount is available to participants who register for both the Innovation Leadership Challenge and the Leadership Summit. 


The Innovation Leadership Challenge: Collaborating to Improve Hospital Flow, Save Lives and Reduce Costs is a pre-conference event at the American Hospital Association Leadership Summit. 



Co-Sponsored by:



8:00 am – 8:10 am


Jay Kaplan, MD, FACEP

8:10 am – 8:30 am


Jay Bhatt, DO, MPA, FACP

8:30 am – 8:40 am 

Design Thinking and Instructions for the Day

Andrew Shin, JD, MPH 

8:40 am – 9:30 am

Introduction to the Problem

Peter Viccellio, MD

What happens when we’re crowded, and what works to fix it? The speaker will discuss the following points:

  • Discuss the literature that supports boarding of admitted patients as a driving force for ED crowding.
  • Discuss consequences, including impact on morbidity and mortality. Discuss the need to separate ED flow improvement strategies (which do not impact on boarding) from hospital capacity strategies.

9:30 am  – 9:45 am 


9:45 am– 11:30 am

Smoothing of Elective Admissions

John Chessare, MD

What drives capacity problems?  The speaker will discuss the following points:

  • Discuss how scheduling of elective admissions impacts on capacity, quality, safety and cost of care as well as contributes to boarding.
  • Introduce the concept of smoothing, how it is applied to elective admissions.
  • Describe institutional obstacles to smoothing and how they can be approached.
  • Provide case examples and demonstrate how this intervention improves access to care, its quality and bottom line. 

11:30 am – 12:30 pm


12:30 pm – 1:00 pm

Full Capacity Protocol

Carolyn Santora, RN

  • Demonstrate how current practices for scheduling admissions, time of discharge, and the volume of weekend discharges create capacity issues. Introduce solutions: three that improve capacity, and one for dealing with overcapacity. 
  • Discuss full capacity protocol.


1:00 pm – 1:30 pm

Enhancing Weekend Discharges

Peter Viccellio, MD

How does discharge activity on the weekend impact on capacity? The speaker will discuss the following points:

  • Describe how enhancing weekend discharges impacts on capacity, flow, ED boarding, and the institutions’ financial bottom line.
  • Describe institutional obstacles and how to address them.
1:30 pm – 2:00 pm Early Discharge

Jay Kaplan, MD, FACEP

How does inpatient discharge time impact on capacity? The speaker will discuss the following points:

  • Create a sense of urgency within the institution for early discharge.
  • Develop a strategy for success (and maintaining success!) for early discharge.
  • Analyze how systems changes may broadly impact early discharge.
2:00 pm – 2:15 pm Break
2:15 pm – 3:30 pm

Table Design Exercise

Each table developing strategies to engage leaders across their health care organizations in improving and optimizing hospital flow. Teams will use design canvases to co-create strategies and innovative ideas in a systematic way to produce real results.

3:30 pm – 4:30 pm

Table Report Out

The groups will share their successful approaches.

4:30 – 4:45 pm

 Wrap-up Session
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