Is your ED a medical department or a business? Survey says...both.

Taking a solid business-like approach to the management of your ED involves--but is certainly not limited to--getting a handle on revenues and expenses. Here are a few strategies some ED managers say help them run a tighter, and better, ship: Have a clinical audit specialist review charts, and have a clerical person "check the checker." Use a "cultural fit" interview with prospective staff members to ensure you're on the same page when it comes to service. Develop a charge structure with numerical values for clinical activities and services, to help ensure optimal reimbursement.