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Marty Lucenti

Marty Lucenti

Dr. Marty Lucenti is an emergency medicine physician and operational performance expert, Principal at ECG Management Consultants (ECGMC).

Jun 29, 2026

9:05
ER diagnosis is and, you know, begin to maybe risk stratify the patients so we can better almost create the care model based on historically profiles of patients who have come there? Is that what you're sort of referring to?
9:21
So what I'm saying is, you know, take a look at your arrival pattern.
9:26
So like when I fix an emergency room, you know, whether it's an inpatient hospital or it's an emergency room, this is a traditional queuing system challenge.
9:37
It's a capacity demand matching algorithm, right? So when I look at an emergency room, I have to have enough docs, nurses, and care spaces to take care of all the patients that arrive so i study the demand by hour of day day of week week of month of year and i understand that distribution not just the average but the 75th or 90th percent off i want to be safe and reliable I've got to be able to deal with my 90th percentile demand.
10:05
Within that construct, Dan, you've got to understand the various types of presentations, the levels of acuity that come, and then exactly what you want to do is have designed care pathways for different levels.
10:22
Different types of patients want very, very different things, right? If you're a high acuity patient, there's only one thing you care about.
10:33
Please save my life.
15:21
What do you see are some of these innovative models that are combining the knowledge, the data, the innovative, you know, throughput and care models that are really helping to take these emergency departments to more of a high performing standard?
2:25
When, you know, working with organizations around the country, what are you seeing as the big challenge or maybe the big drivers related to overcrowding in emergency departments?
2:37
You know, I think the starting point when you start to look at overcrowding in the emergency room, it's really important to start with, you know, what do you see emerge as the patterns of utilization in the emergency room? What does the emergency room of today provide for the health system? And quite honestly, when you take a look at what the emergency room does now...
3:01
I like to refer to it as the emergency room has slowly and predominantly transformed itself into an acute diagnostic center.
3:12
And because much of the original physical footprints were originally designed with the primary concept of an emergency room, this is where you go when you have a life-threatening emergency.
3:25
A lot of the capacity designs were done with that in mind.
3:30
But when you actually look at the populations that actually present to the emergency room The emergency rooms forms a much broader set of services for the health system.
3:44
When you look at the populations within an emergency room, there is that group that has a life-threatening injury or illness, but that only represents about 25 to 30% of the ER visits.

11 MINS LATER

15:21
What do you see are some of these innovative models that are combining the knowledge, the data, the innovative, you know, throughput and care models that are really helping to take these emergency departments to more of a high performing standard?

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