John Muir Medical Center made several changes to its triage process in order to accelerate ED intake. These changes focused on three initiatives: direct-to-bed, mini-triage and mini-registration.

These initiatives allow the patient to be placed into the system faster. In order to avoid confusion of roles and procedures, the triage protocol clearly states how these initiatives work together and in support of one another to accelerate the intake process. The position of a floating triage nurse was also instituted to support these initiatives.