About this Presentation
Emergency departments are high-pressure environments where delays can have serious consequences. Josh Wilson recounts a real-world ED improvement project that leveraged TOC, Lean Six Sigma, and change management to identify and resolve a key constraint—CT imaging. The initiative included Gemba walks, stakeholder engagement, and data-driven analysis, ultimately transforming diagnostic throughput and overall ED efficiency. This session demonstrates how an integrated, flexible approach can produce fast and sustainable impact.
What Will You Learn
To help you get the most value from this session, we’ve highlighted a few key points. These takeaways capture the main ideas and practical insights from the presentation, making it easier for you to review, reflect, and apply what you’ve learned.
Chaos isn’t inevitability — it’s a symptom. The session reveals how what looks like unpredictable ED overload actually stems from systemic bottlenecks that, once uncovered, allow flow to be stabilized and care to become more reliable.
The problem is not more staff but smarter flow. It shows how matching capacity to real demand patterns and eliminating hidden constraints can dramatically reduce wait times and crowding without simply adding people.
Data can spotlight delay blind spots. The presentation hints that when emergency care teams shift from snapshot statistics to flow signals, they can anticipate and prevent bottlenecks instead of constantly reacting to them.
Instructor(s)
Josh Wilson, PA-C, MBA, LSSBB
Josh Wilson has 15 years of Emergency Department experience as a Physician Assistant and 8 years of ED leadership experience. He has an MBA from the University of Illinois and is Lean Six Sigma Black Belt certified. He has worked for the past two years as the Director of Innovation for Centra Health and more recently as the Senior Manager of Practice Innovation at UVA Health.