Learn strategies to prevent emergency department performance decline in this 32-minute conference talk by Dr. Shari Welch. Explore metric-driven management techniques, engaged leadership principles, and the use of Tableau for data visualization. Discover common pitfalls in ED management and characteristics of effective leaders. Gain insights on department optimization, including when to implement a fast-track system and exclusion criteria. Delve into essential metrics such as arrival patterns, census data, and zone-specific information. Examine productivity and efficiency measures for both medical staff and nurses, and identify top performers. Conclude with a recap of key points and liability considerations for maintaining a high-performing emergency department.