Eliminating time-consuming processes up front and taking a hard look at how you treat nonemergent patients can yield dramatic results: One ED cut pain-to-first meds in half, cut 30 minutes off door-to-discharge times, and reduced left before being seen rates by about one-third. Having a doc in triage can help speed and ensure appropriateness of advance ordering. If your fast-track process is not meeting its turnaround goals, consider other alternatives such as Mid Care.