$20M saved through reduced LOS: Inside this Hawaii system's ops strategy
Length of stay can be a proxy for every operational challenge in a hospital — and The Queen's Health Systems was feeling the strain. ED admissions were delayed, transfers were turned away and the financial toll kept rising.
Their solution? A clinically led, executive-supported patient flow overhaul anchored by a command center.
Within a year, Queen's saw measurable progress: a 1.07-day drop in length of stay, a 64% decrease in patients boarding in the ED, and $20 million in cost savings — all while improving care access for Hawaiians across the islands.
In this brief case study, you'll learn:
Their solution? A clinically led, executive-supported patient flow overhaul anchored by a command center.
Within a year, Queen's saw measurable progress: a 1.07-day drop in length of stay, a 64% decrease in patients boarding in the ED, and $20 million in cost savings — all while improving care access for Hawaiians across the islands.
In this brief case study, you'll learn:
- Why making LOS a clinical issue — not just a financial one — changed everything
- How Queen's uses real-time data to escalate discharge barriers and manage capacity
- What other health systems can learn from a 22% boost in transfers and smoother ED flow
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