In this era of more uninsured and under-insured patients, reduced reimbursements, an economic downturn, and increased liability, healthcare providers are pressured to improve productivity and the quality of outcomes. Few departments are more affected by these factors than the emergency department (ED). With increasing frequency patient volumes are exceeding existing ED capacity. Healthcare administrators have worked to increase capacity in part through process redesign, which may be deployed with or without capital improvements. Using a structured interview research method, the presenters studied a sample of emergency departments to evaluate the incidence of efficiency improvement initiatives such as electronic dashboards, bedside registration, satellite labs and fast tracking. Both quantitative and qualitative findings will be presented during this session, with special emphasis on those initiatives most commonly implemented among the sample population. Lessons learned, administrator perceptions, and information about quality indicators (e.g., patient wait times and satisfaction) will be discussed