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Most experts predict higher volumes with reform--EDs must prepare now.

Most ED managers believe volumes will increase under the health care reform law. You can't prevent a growing number of patients from coming to your ED, but there are steps you can take to make your department more efficient. If no beds are available upstairs, move patients to the floors of other units. Make sure you have a strategy in place for when your ED becomes too crowded. Use Lean tools to identify and eliminate unnecessary process steps and standardize placement of equipment in your rooms.