When it comes to running a hospital, there’s no shortage of financial challenges. According to a recent American College of Healthcare Executives CEO survey, inefficient use of the emergency department is among the top financial concerns. And for good reason: EDs typically are fast-paced, dynamic environments that involve a lot of moving parts. Unpredictability is routine and no two days — or nights — are the same. Crises compound quickly and, without a proven strategy in place, it’s difficult to standardize operations and implement clinical controls over the long term.