Explore strategies for creating a world-class emergency department through volume-specific operational improvements in this 40-minute conference talk. Delve into best practices for triage, radiology, laboratory processes, discharge procedures, and admissions. Examine general themes and tailored approaches for EDs handling 20,000 to 40,000 visits and 60,000 to 80,000 visits annually. Learn from experienced experts who have successfully navigated the challenges of emergency medicine management. Gain valuable insights on leadership, operations, logistics, strategic planning, and adapting to healthcare reform to enhance your ED's performance and patient care.