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

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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.

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, 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.

Do you want to improve patient flow AND cash flow? Are you tired of endless efforts that fail to fix your problem?

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

$295 Member 
$395 Non-Member

Cancellation Policy

Full conference registration, less the $100 cancellation fee, is refundable only if submitted in writing to 30 days prior to the beginning of the conference. Registrations and cancellations received after the 30 day deadline are not refundable. Exceptions will be made for family emergencies and must be submitted in writing to For these instances the full conference registration fee, less the $100 admin fee, will be refunded. You cannot reinstate a registration after you cancel. If you cancel and are entitled to a refund, expect the refund within 30 days. All refunds will be issued back to the original payment type. Cash payments will be refunded by check.

Co-Sponsored by the Institute for Healthcare Optimization.

Course Schedule
 8:00 am – 8:30 am Introduction
Jay Kaplan, MD, FACEP
 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– 10:15 am
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 am – 11:30 am Early Discharge
Katherine Hochman, MD, FHM
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 am - 12:30 pm Enhancing Weekend Discharges
Peter Semczuk, DDS, MPH
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 Hochman, MD, FHM
Workshop #3: Enhancing Weekend Discharges Presentation
Facilitator: Peter Semczuk, DDS, MPH
Workshop #4: Full Capacity Protocol Presentation
Facilitator: Carolyn Santora, RN
 5:30 pm – 5:45 pm Wrap-up General Session
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