1.What operational problems is the Saintemarie Emergency Department facing? Whatis your assessment of the current performance and what do you think is driving these problems? 2. Through a back-of-the-envelope calculation, evaluate the average time that patients wait before entering the care process. To do so, view the patient management activities and discharge as a single activity. How does the result of your calculation compare to the 1 hour and 10 minutes mentioned in the case? 3. Over the past few years, there has been a recurring debate at the management level of the hospital regarding the possible solution of dividing the ED into two separate units:inpatient (acute cases) and outpatient (non-acute cases). Du point had always refused this solution given the significant costs it would entail in building such a separation.Has the time come to make such a one-time investment? 4. What additional (or alternative) measures would you recommend for improving Saintemarie’s ED performance?

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