Situated in Flint, Michigan, The Paul F . Reinhart Emergency Trauma Center is part of the 443 bed public not for profit Hurley Medical Center that is a teaching hospital serving Genesee, Lapeer, and Shiawassee counties since 1908 by delivering the highest quality of adult and pediatric emergency and trauma care in the region. With a highly skilled staff that includes UM EM faculty, Hurley features the region’s only Level I Trauma Center and Level II Pediatric Trauma Center, offering the most comprehensive care in the area to all adults and children. The Michigan Medicine Adult Emergency Service provides world-class emergency and trauma care to our region. In the face of rising patient visits and internal capacity constraints, our clinical teams work to improve patient flow and add value to every step of our patient’s journey. Our research excellence brings innovative solutions to the bedside. Our flourishing educational environment keeps care vibrant, patient- centric, and compassionate. In 2016, constrained hospital capacity led us to look for new and better ways to serve our patients and improve our throughput in our University Hospital site. The Operational Excellence (OPX) team, a multi- disciplinary group of EM physicians, nurses, techs, physician assistants, residents, and clerks, performed an extensive value stream map of the patient’s journey. OPX is currently focusing on improving communication within the EM, accelerating input from specialists and consultant MDs from across Michigan Medicine. We are looking forward to seeing the effects of our efforts over this year. 13 UNIVERSITY HOSPITAL Adult Patient Volume HURLEYMEDICALCENTER Adult Patient Volume TOTAL ADULT VOLUME 145,769 77,582 68,187