Optimizing Emergency Departments

Improving Cost, Quality and Efficiency


The Triage First Approach:

Stage 1: Emergency Department Obstacle Assessment Stage
Stage 2: Emergency Department Plan for Operation Improvement
Stage 3:: Triage Education Program

  • Reducing operational stress
  • Reducing operational risk
  • Increasing patient satisfaction
  • Improving patient and staff safety
  • Improving triage acuity assessment

Stage 4: Operational Quality Improvement and Implementation
Stage 5: Coaching/Modeling for Concepts and Processes Triage First identifies weak and broken processes and provides rationale, strategies, and team motivation geared toward implementation. Our experienced and knowledgeable senior consultants will identify and provide solutions to improve or eliminate processes and behaviors that cause frustration for you, your staff, and your patients. The Triage First liaison plan will bridge the gaps between executives, management, staff, and ancillary departments and services. Keeping your hospital’s interests in mind as you serve your patient population, Triage First will identify areas of opportunity. Inquire here. For RFI submissions, contact us via email. We offer different levels of consulting services from basic to comprehensive. For all levels, you can expect:

            • On-site evaluations by senior consultants
            • Comprehensive ED chart review
            • Consulting hours tailored to accommodate each working shift or other specifics about your census
            • A comprehensive approach to customer service, ED workflow, and clinical expertise
            • Full program development
            • Detailed reporting and documentation on each area evaluated
            • An executive report summarizing major areas for improvement
            • Assignment of senior consultants to aid in the management of the project
            • Executive management oversight for achieving agreed-upon goals
            • Immediate and lasting impact

Change is never easy. However, never changing can be fatal. You have not only helped us understand the importance of change, but also educated us on successful change implementation. Tackling 187 action items has been a ginormous task. With your guidance and support we have been able to eagerly approach each action item, and accomplish great things. It is [reference available upon request] Department of Emergency Medicine’s goal to provide safe and compassionate care to each patient. Triage First has been an integral part of the department’s ability to do this.


RN, BSN, SANE, Reference available upon request

The detailed feedback from the first assessment, your assistance in helping us gain traction for a whole-system approach, and holding us accountable for the work through the implementation phase were the highlights of this project. You demonstrated extreme patience in working through staff and leadership concerns, and did a great job in balancing expectations among all stakeholders while keeping us focused on the positive through the many challenges. You are truly talented in your ability to read emotions and sense the operating environment to provide a truthful analysis.


RN, BSN, MHA, Reference available upon request

Your thorough guidance and quality improvement tools provided an invaluable framework from which we were able to tackle a staggering amount of work. And your ability to articulate our needs to the executive leadership team was invaluable in getting the resources necessary to support our efforts. With your help, we have been able to make dramatic progress within the setting of a major departmental move, while being able to focus on our mission of providing uninterrupted, quality care for our patients throughout the transition. I want to thank you and your team for your excellence!


MSN, RN, CEN, CCRN, Reference available upon request

We began an initiative for emergency services improvement and enlisted Triage First to partner with us to effect these changes.  Their emphasis on point of entry processes, elimination of bottlenecks, and overall patient satisfaction have provided the impetus we needed to bring about a cultural transformation in our emergency departments.  Triage First is a valuable partner in risk, quality and education.


RN, BSN, MSN, Vice-President, Reference available upon request

The emergency department has become the new ‘front door’ of our hospitals, accounting for more patient visits and admissions than ever before. The incremental risk associated with this increasing ED traffic has caused us to focus first on the processes that impact patient flow, satisfaction, and quality care. Triage First has proven to be a flexible and effective partner, helping us to address that top priority without which the rest of our risk mitigation strategy could not be successful.


Vice President, Risk Management, Reference available upon request