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Emergency Department Pain Points Case Study

A large Louisiana hospital’s emergency department was at a crossroads in 2022. Leadership changes shone a light on long-standing challenges at the level-1 trauma center. In particular, the facility was struggling with an overcrowded emergency department, where patients frequently filled hallways; high turnover among the nursing staff; lagging patient discharge times; issues with patient-experience scores; and a residency program with a low retention rate.

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PA Fellowship

Emergency medicine (EM) is one of the most intense and demanding fields in healthcare and entering it as a new graduate Physician Assistant (PA) can be daunting. In 2015, Progressive Emergency Physicians (PEP) launched an 18-month Emergency Medicine PA Fellowship Training Program at Good Samaritan University Hospital.  The program is designed to develop new PAs into competent emergency clinicians with appropriate supervision and support.

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How One ED Transformed Patient and EMS Experience

Emergency departments (EDs) are no strangers to long wait times, overcrowded hallways, and stressed EMS crews. But what if we could eliminate the bottlenecks, reduce delays, and dramatically improve both patient and EMS satisfaction? That’s exactly what Progressive Emergency Physicians (PEP) and Good Samaritan University Hospital on Long Island, NY, did by redesigning its emergency care model—and the results are nothing short of remarkable.

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Emergency Department Cultural Renovation

In 2022, the emergency department of a large Louisiana hospital faced a crisis — not just of overcrowding and inefficiency, but of culture. As a Level 1 trauma center, the facility was overwhelmed — patients crowded the hallways, staff morale was at an all-time low, and critical performance metrics like discharge times and patient satisfaction scores lagged well below acceptable levels. The ER’s residency program was also floundering, with only 1 in 12 residents opting to stay post-residency.

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