Explore strategies for creating a world-class emergency department in this 25-minute conference talk. Delve into the challenges faced by hospital CEOs and leadership teams in the evolving landscape of emergency medicine. Examine key topics such as navigating transitions, aligning incentives under population health, improving customer service, and addressing conflicts with community physicians. Learn from experienced professionals who share successful practices and provide tools for tackling issues like admissions, payor contracting, and leadership development. Gain insights on strategic planning, healthcare reform, and operational improvements to enhance your ED's performance and relevance in the changing healthcare environment.