| 0:00–0:05 | Welcome & Strategic Framing | Julia Krol | - ED overcrowding, nurse burnout, surgical bottlenecks are symptoms, not causes
- Artificial variability in elective admissions drives peaks
- Surgery = hospital financial blood flow
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| 0:05–0:12 | IHO Patient Flow Methodology | Eugene Litvak | - Level elective admissions to stabilize census
- Align staffing & beds
- Visual: before/after flow chart
- Closing: “If solution exists, why not implement?”
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| 0:12–0:22 | Surgeon Perspective | Shaf Keshavjee | - Limited timely OR access
- Forced overtime
- Post-op patients in non-preferred units
- Reduced cancellations & improved surgical case volume
- Cultural resistance explained
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| 0:22–0:32 | ED Perspective | Peter Viccellio | - Boarding is a system failure
- Impact on mortality & LWBS
- How smoothing elective admissions relieves ED pressure
- Misconception: “ED must absorb variability”
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| 0:32–0:42 | Nurse Perspective | Linda Laskowski Jones | - Staffing ratios distorted by peaks
- Burnout & moral distress
- Reduced turnover with stable flow
- Staffing models fail due to artificial peaks in census
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| 0:42–1:00 | Live Q&A | Julia Krol | - First question pre-prepared: “If you were CEO today, what is the first step?”
- Audience questions (C-suite & frontline)
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