CASE STUDIES
Proven Results in Hospital Throughput & Leadership Development
From large urban medical centers to rural community hospitals, our tailored approach consistently produces results you can see in the data: reduced wait times, improved patient flow, stronger leadership, higher patient satisfaction, and millions saved in operating costs. The case studies below highlight how our proven methods create sustainable transformation across diverse healthcare settings.
CASE STUDY ONE
Downtown Academic Medical Center
750 Beds, Level I Trauma
Challenge:
Emergency department overcrowding led to an average door-to-admission time of 11.5 hours and ED boarding of 30+ patients daily. Staff reported high burnout and patient satisfaction scores had dropped to the 27th percentile nationally.
Our Approach:
Implemented throughput optimization workshops with physician, nursing, and case management leaders.
Redesigned admission flow from ED to inpatient units with a real-time bed management system.
Leadership development program to improve interdisciplinary communication.
Results (4 months):
Door-to-admission reduced by 50% (11.5 to 5.8 hrs)
ED boarding decreased by 55% (30 → 13 patients daily).
Patient satisfaction scores improved to the 62nd percentile.
Nursing turnover in the ED dropped by 19% within 6 months.
CASE STUDY TWO
Suburban Community Hospital
350 Beds
Challenge:
Lab turnaround times delayed diagnosis and treatment decisions. Average order-to-collect time was 65 minutes, with an additional 90 minutes to results, leading to ED length of stay over 8 hours for admitted patients.
Our Approach:
Standardized order-entry protocols with auto-prioritization for critical labs.
Embedded “fast-track” phlebotomy service in the ED.
Leadership coaching to strengthen accountability in ancillary departments.
Results (3 months):
Order-to-collect time decreased by 52% (65 min → 31 min).
Lab turnaround improved by 43%.
ED length of stay for admitted patients reduced by 2.3 hours.
HCAHPS "timeliness of care" scores improved by 28%
CASE STUDY THREE
Inner-City Safety-Net Hospital
500 Beds
Challenge:
ED overcrowding with discharge length of stay averaging 3.5 hours after decision to discharge, due to delays in paperwork, pharmacy, and patient transport. Patients were frustrated, and ED left-without-being-seen (LWBS) rates reached 7.8%.
Our Approach:
Developed a centralized discharge/admissions lounge to free up ED beds sooner.
Partnered with pharmacy to create a bedside delivery service for discharged patients.
Implemented rapid discharge huddles at peak times.
Results (2 months):
Discharge length of stay reduced by 49% (3.5 hrs → 1.8 hrs).
LWBS decreased from 7.8% to 3.2%.
ED daily capacity increased by 22%.
Patient satisfaction scores improved to the 70th percentile.
CASE STUDY FOUR
Rural Regional Hospital
220 Beds
Challenge:
Limited staffing and inefficient triage process caused door-to-provider times of 78 minutes, well above the national benchmark. Patients often left before being evaluated.
Our Approach:
Introduced split-flow triage model (fast-track for low acuity).
Leadership coaching on patient flow management.
Standardized provider-in-triage model during peak hours.
Results (6 months):
Door-to-provider reduced by 81% (78 to 15 min).
LWBS dropped by 65%.
Overall ED length of stay reduced by 1.6 hours.
Community reputation improved; ED volume increased by 9% within one year.
CASE STUDY FIVE
Urban Teaching Hospital
600 BEDS
Challenge:
Hospital struggled with inpatient throughput. Average hospital length of stay (LOS) was 6.2 days, with delays in discharge planning and poor weekend discharges. This created ED backups and increased cost per case.
Our Approach:
Launched leadership development program with nursing supervisors and case managers.
Implemented early discharge planning within 24 hours of admission.
Strengthened weekend discharge processes through physician engagement.
Implemented 10 X 10. We discharge 10 patients by 10 a.m.
Results (5 months):
Average inpatient LOS reduced by 12% (6.2 → 5.4 days).
Weekend discharges increased by 38%.
Door-to-admission from ED improved by 27%.
Estimated $4.2M in cost savings annually from reduced LOS.
Why hospitals choose us
Across diverse settings — urban, suburban, rural, and safety-net facilities — our tailored approach consistently delivers measurable improvements.