Emergency Department Clinical Operations

Emergency department (ED) leaders have the responsibility to ensure that the highest quality patient care is provided in an efficient cost effective manner. The purpose of this web page is to provide a collection of operations management resources that ED leaders may find useful. 

  • Affordable Care Act (ACA) 
    The Affordable Care Act provides Americans with better health security by putting in place comprehensive health insurance reforms that will expand coverage, hold insurance companies accountable, lower health care costs, guarantee more choice, and enhance the quality of care for all Americans.
  • AHRQ Innovations Exchange
    This website offers busy health professionals and researchers the opportunity to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and populations. Searchable topics to improve ED quality and safety include patient flow management, reducing emergency department non-urgent visits, and reducing boarding time.
  • Electronic Health Records
    Information provided on the benefits of electronic health records, how to implement, and the Health Information Technology for Economic and Clinical Health (HITECH) Act
  • Emergency Department Performance Measures - 2014 Consensus Updates
    Updated, consensus-based definitions to provide consistency in reporting measures and benchmarking across EDs nationwide.
  • Emergency Medical Treatment and Labor Act (EMTALA)
    In 1986, Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay.
  • EMTALA Fact Sheet (ACEP) 
    A helpful fact sheet with FAQ's developed by the American College of Emergency Physicians.
  • Emergency Severity Index (ESI) Triage
    The Emergency Severity Index (ESI) is a five-level emergency department (ED) triage algorithm that clinically stratifies patients into five groups from 1 (most urgent) to 5 (least urgent) on the basis of acuity and resource needs.
  • ENA Executive Synopsis: Emergency Nurse Retention
    Intended for nurse leaders and hospital administrators, this document examines the high cost of nursing turnover, especially as it relates to emergency nurses, and provides evidence-based strategies for nurse retention.
  • ENA's Handbook for Implementing an Emergency Department Electronic Medical Record (EMR) System 
    ENA's electronic Handbook for Implementing an Emergency Department Emergency Medical Record System provides guidance to interdisciplinary EMR project teams and is based on first-hand experience, research, and best-practice principles.
  • Medicare and Value-Based Purchasing  
    Hospital Value-Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services' (CMS') long-standing effort to link Medicare's payment system to a value-based system to improve healthcare quality, including the quality of care provided in the inpatient hospital setting.
  • Surviving Sepsis Campaign
    The Surviving Sepsis Campaign (SSC) is an international, collaborative effort to reduce sepsis-related mortality. The 2012 SSC Guidelines recommend use of evidence-based sepsis management bundles to improve outcomes, and are essential for development of sepsis protocols.
  • TJC Patient Flow Resources
    This web page highlights resources (articles, reports, case studies, etc.) that can provide helpful information to hospitals as they prepare to implement operational, cultural, and data management changes to improve patient flow in their organizations.