Meadows Regional Medical Center's (MRMC) goal is to have its employees think about its business holistically rather than just focus on doing their jobs in silos. In 2005, it had the opportunity to do just that by taking traditional manufacturing principles and applying them to healthcare. Matt Oxley, one of the trustee board members, learned of a team from Georgia Tech that was doing work in lean manufacturing. After consulting with Frank Mewborn of Georgia Tech, MRMC decided the most logical place to start was the emergency department (ED) due to its high visibility in the hospital and within the community. The lean team at Meadows developed 44 action items for reducing lead time to admit, treat and discharge a non-critical ED patient, 18 of which were determined to be low cost and high impact. Thanks to implementing lean processes, its physicians, on average, are seeing more patients than before, ranging from two to five patients per hour.