Physician Expedites ED Boarding with Access to Streaming Operational Data


Providence Saint Joseph Burbank ED Medical Director, Celina Barba-Simic, MD knew something had to change. It was February 2018. Like many EDs dealing with cold and flu season, their ED was experiencing high patient volumes. This created lengthy wait times. Understandably patients and their caregivers were frustrated. In fact, physicians immediately felt behind as soon as they started their shifts.


Because the ED recently worked with MultiScale to move all their EHR and operational data into a secure cloud, Dr. Celina Barba-Simic now had access to real-time, streaming intelligence across operations. She can instantly see flows and bottlenecks as they happen and has the data to communicate what is happening. Additionally, she can instantly analyze the data retrospectively. Access to this knowledge quickly revealed trends, and this was key to helping her understand and predict future impacts.

The new data insights sparked a simple solution to what was once a challenging throughput issue: by reviewing the Arrival by Hour card Dr. Barba-Simic was able to determine that there was a surge in arrivals just prior to the oncoming additional physician. She was able to proactively move the physician schedule up an hour. She also placed a physician in triage during the busiest time. These small changes were the solution to improving ED throughput.





  • Fast: Instant, as needed reports 
  • Comprehensive: Real-time and historic metrics 
  • Easy: No programming required 
  • Efficient: Zero IT resources 
  • Accurate: Trusted results 


  • Average in-house report cost: $6,000

  • Average wait time for an in-house report: 3 weeks 


Proof positive: If you can see it, you can change it. Once Dr. Barba-Simic adjusted staffing schedules, the “Physician to Assigned Disposition” data began trending down--even over their highest volume weeks in February.  With Connect-ED, Saint Joseph Burbank now has the information it needs to make operational decisions that impact throughput and can actively monitor the impact of their decisions. Equally important—we’re betting their ED patients and providers are a lot happier too.

Molly Maron