2025 Imagine - T44 - Optimizing Emergency Department Admissions: Real-World Wins in Patient Flow - On Demand
Overview: Emergency departments (EDs) are under pressure — and smart observation strategies are making a measurable difference. UK HealthCare’s Chandler Hospital opened an emergency department observation unit using existing space and nursing staff to ease inpatient boarding and improve hospital throughput. Stanford Health Care paired real-time utilization review with electronic medical record (EMR) workflow improvements to increase appropriate observation admissions, reduce readmissions and drive significant cost savings. Discover how two organizations used creative staffing, smarter workflows and interdisciplinary collaboration to boost patient flow, shorten stays and deliver real results.
Target Audience
- Dietitians
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Physician Associates
- Healthcare Quality Professionals
- Other Healthcare Professionals
Learning Objectives
Discuss strategies to implement an ED observation unit to improve hospital throughput.
Explain the impact of real-time utilization review and workflow automation on ED admission accuracy.
Mohamed Alhadha, Senior Performance Improvement Consultant, Stanford Health Care | Stanford Medicine, Palo Alto, Calif.
William Frederick III, MD, PhD, CHCQM-PHYADV, Clinical Associate Professor of Medicine, Medical Director - Utilization Management/Care Management, Stanford Health Care, Palo Alto, Calif.
Shashank Ravi, MD, MBA, Director of Quality, Adult Emergency Department Medical Director, SHC Value Based Care Program Associate Professor, Stanford Health Care | Stanford Medicine, Palo Alto, Calif.
Patrick Grace, MD, FACEP, Assistant Professor of Emergency Medicine, Assistant Chief Medical Officer, UK Chandler Hospital, Medical Director, ED Observation Services, UK HealthCare, Lexington, Ky.
Abhisek Patel, MD, Assistant Professor of Emergency Medicine, Assistant Medical Director, ED Observation Services, UK HealthCare, Lexington, Ky.
Mahmoud Ziada, MBA, Hospital Operations Analyst Senior, UK HealthCare, Lexington, Ky.
Joint Accreditation Statement
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

The Commission on Dietetic Registration (CDR) accepts nutrition-and-dietetics-related continuing education credits from Jointly Accredited Providers. After completing this activity, CDR-credentialed practitioners may claim CPEUS under Activity Type 102; 1 contact hour (60 minutes) = 1 CPEU.
Available Credit
- 0.75 AAPA CMEVizient Inc. has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria.
- 0.75 ACPE Pharmacist
- 0.75 ACPE Pharmacy Technician
- 0.75 AMA PRA Category 1 Credit™
- 0.75 ANCC
- 0.75 CDR
- 0.75 CPHQ – Certified Professional Healthcare Quality
- 0.75 General CE - Attendance
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