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The ED at Twin County Regional Hospital in Galax, VA, succeeded in cutting its door-to-doc time from 121 minutes to 19 minutes in just seven weeks — while annual volume was climbing from 19,000 to about 30,000 — by combining a process improvement plan designed by a health care consulting firm, the leadership of the hospital CEO, and the ED's medical director.

Ambulatory Care Quarterly: D-to-D slashed 85% — in seven weeks!