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In three years, the ED at Dameron Hospital in Stockton, CA, has achieved total savings of $650,000 through a combination of staffing optimization, creation of atypical shifts and a flexible internal pool, and providing staff the option to take open shifts, all while still meeting the challenging nursing ratios required by the state. These changes were made in concert with The Optime Group, a consulting firm based in Evanston, IL.

Staffing changes save ED more than $200K a year