Hospital Flow: Real Changes Can Save Lives, and Reduce Costs

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Register for Hospital Flow


Doing the same thing and expecting different results?
ACEP offers a better way!

Hospital Flow - crowding

Join the leaders in hospital flow at ACEP’s Hospital Flow: Real Changes Can Save Lives, and Reduce Costs - a one-day conference which offers battle-tested solutions so you can:

  • Improve efficiency in the ED and OR
  • Reduce costs associated with emergency admissions
  • Improve patient satisfaction with emergency care
  • Increase revenue by increasing flow through the hospital
  • Decrease length of stay for inpatients and emergency patients
  • Reduce nursing burnout

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.

Do you want to improve patient flow AND cash flow? 

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.

Registration Fees

$295 Member 
$395 Non-Member

Registration Now Open!


Co-Sponsored by the Institute for Healthcare Optimization.


Hyatt Regency Boston Harbor 

Hyatt Regency Boston Harbor
101 Harborside Drive
Boston, MA 02128
Main Phone: 617-568-1234

Online Reservation Link Coming Soon.

ACEP has negotiated a great rate of $289 per night, plus taxes and fees. 

The deadline to make reservations at the discounted rate is Friday, April 7, 2017. After April 7, rooms and rates are subject to availability.

Course Schedule
 8:00 am – 8:15 am Introduction
Jay Kaplan, MD, FACEP
 8:15 am – 8:30 am Remarks from CMS
Patrick Conway
 8:30 am – 9:15 am Introduction to the Problem and Discussion of Full Capacity Protocol
Peter Viccellio, MD, FACEP
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. 
  • 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.
9:15 am– 10:15am
Smoothing of Elective Admissions
Eugene Litvak, PhD
What drives capacity problems?  The speaker will discuss the following points:
  • Discuss how scheduling of elective admissions impacts on capacity and 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 impact on capacity and bottom line.
 10:15 am – 10:30 am Break
 10:30 – 11:30 am Early Discharge
Katherine Hochman
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.
 11:30 - 12:30 pm Enhancing Weekend Discharges
Peter Semczuk
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.
 12:30 pm – 1:30 pm Lunch on Your Own
 1:30 pm – 5:30 pm Workshops
Participants will rotate through the four workshops.  The workshops will be roundtable discussions with experts who have implemented the changes discussed in the morning sessions, to share in-person practical advise on steps necessary to begin and complete the journey for implementing change in the participants’ respective institutions.
The following points will be discussed:
  • Blueprint for Implementing Processes 
  • Political Hurdles
  • Costs/Savings
  • Problems and Solutions

Workshop #1: Smoothing of Elective Admissions Presentation
Facilitator: John B. Chessare, MD, MPH
Workshop #2: Early Discharge Presentation
Facilitator: Katherine Hockman
Workshop #3: Enhancing Weekend Discharges Presentation
Facilitator: Peter Semczuk
Workshop #4: Full Capacity Protocol Presentation
Facilitator: Carolyn Santora, RN
 5:30 – 5:45 pm Wrap-up General Session

Register for Hospital Flow

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