Case Study : Command Center Helps Improve Patient Flow, Saving $20M in First Year at The Queen’s Health Systems

case-study-the-Queens-Health-Systems-may-2025

The Queen’s Health Systems in Hawaii deployed a command center that supports several interconnected length of stay (LOS) and patient flow initiatives.

In the first year after opening the Aukahi Command Center, Queen’s achieved powerful outcomes, including:

  • $20M in savings through reduced LOS
  • 1.07 day decrease in LOS
  • Increase in ED throughput and decrease ED boarding 
  • Increase acceptance of transfers

A key to their success: putting clinical care improvements at the center of the initiatives,  with support from the executive team.

Ashley Shearer, LCSW, CSAC, Senior Director of Care Coordination & Patient Flow at The Queen’s Health Systems, explained, “Once we moved length of stay from a financial discussion to a clinical discussion focused on patient care safety and quality--with support from the CEO and CFO--we were positioned to address the issues more effectively.”

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