Transforming Emergency Medicine OPTIMIZING PATIENT OUTCOMES Providing world-class patient care remains our top priority. In 2016, we worked to enhance team perfor- mance through initiatives such as Safety Huddles— all-staff, unit-wide updates conducted every four hours to ensure consistent care. Our Emergency Critical Care Center (EC3) is a unique model of care. Funded by the Massey Family Foun- dation we have transformed the treatment paradigm by placing an ICU within the emergency department. In addition to introducing a host of new quality and safety programs, we have continued to make strategic investments in crucial ongoing services such as Survival Flight, our state-of-the-art paramedical transport service. BUILDING EXCELLENCE THROUGH TEAMWORK The past five years have seen important changes in both senior and general staffing within Emergency Medicine. Most notably, in 2016 we welcomed the department’s new Vice Chair and Division Chief of Pediatric Emergency Medicine, Dr. Prashant Mahajan. Across the board, we have seen significant professional growth not only among our world-class physicians, but also our outstanding physician assistants and nursing staff. I extend sincere appreciation to the nearly 850 individuals who comprise the EM team and whose passion, dedication, innovation, and skill fuel our success each and every day. CREATING THE FUTURE OF EMERGENCY CARE It is both our goal and responsibility to position Michigan EM for future realities and to prepare health- care professionals who will be ready for whatever emergency medicine may look like five, 10, or even 20 years from now. Today, the future trends are clear. Our nation’s rapidly aging population is inevitably increasing the need for high-complexity, time-sensitive emergency care. On the other end of the spectrum are patients with low-acuity, unscheduled medical issues who need attention but do not necessarily require all the resources of an EM department. Our challenge is to create a system of care that effectively and compassionately addresses both extremes. In charting our future course, we have developed seven guiding strategies: Optimize the patient-provider experience in the emergency department. Develop alternatives to hospitalization after emer- gency department evaluation and treatment. Develop strategies to deliver emergency care outside the walls of the emergency department, including the patient’s home. Optimize the time-sensitive delivery of advanced diagnostics and treatment to the critically ill and injured. A LETTER FROM THE CHAIR I extend sincere appreciation to the nearly 850 individuals who comprise the EM team and whose passion, dedication, innovation, and skill fuel our success each and every day. 6