Explore innovative strategies for creating a world-class emergency department in this 30-minute conference talk. Delve into the Physicians in Triage Models implemented by Emergency Medicine Physicians (EMPs). Learn about the evolution of ED management, potential downsides, and the role of physicians as greeters. Examine real-world experiences from Samaritan and Hamilton hospitals. Discover how to optimize patient flow through effective intake processes, including strategies for vertical and horizontal patients. Gain insights into designing greeting systems, anticipating problems, and measuring performance improvements. Address challenges during surge times and explore future trends in ED intake processes. Equip yourself with practical tools and techniques to enhance leadership, management, operations, and strategic planning in your emergency department.