ED crowding is ultimately hospital crowding. This impacts all our patients, so if you have a good idea to alleviate crowding, share it! 4/4

But waiting for the "silver bullet" (health care financing reform, in case you were curious) that will solve crowding is dangerous. We need multiple solutions that each help move the needle a little bit. Inpatient hallway beds, discharge lounges, surgical smoothing, boarding quality measures...3/

We need whole health system buy-in for solutions to improve occupancy and inpatient flow. And inpatient boarding can help! We know patients prefer boarding in inpatient hallways over the ED. I fully admit, inpatient hallways are an incremental solution. 2/

"Whatever the exact reasons behind this shift, the lack of reporting requirements for individual physician payments within NCEs has the potential to obscure potential conflicts of interest which may have implications for patient care. "