Preview: The High-Performance Emergency Department
The three emergency departments at Cambridge (MA) Health Alliance used to be like Disney World, and not in a good way. In this case study, part of an upcoming HealthLeaders Rounds event, we examine how CHA transformed itself.

Great article and in total agreement with the process. But, there was no mention of point of service collection for patients who were at the ED for clinic level of care. How is that handled at these 3 hospitals? Unless we develop access to care at the appropriate site and expect payment when appropriate post medical screen, patients will continue to use their local ED for what could be seen in a clinic thus encouraging high cost of care and lack of accountability. I would love a response to this comment. Thank you.