John Klare, Co-CEO and Board Member, and Loren Mann, Managing Director Clinical Performance, Impact Advisors. University Health, a 700-bed Level I trauma AMC embarked on a project to increase operational adoption of their EMR coupled with optimizing clinical performance across their system. University Health conducted a comprehensive twelve (12) week review of their Emergency Department, Patient Throughput, Care Coordination, Patient Discharge, Perioperative, and CDI departments to identify opportunities to enhance their clinical performance, remove excess days to open up “hidden” capacity, and support better patient outcomes. John and Loren describe the methodology and approach, and lessons learned along the way, to identify clinical performance opportunities and support “elbow to elbow” clinical, operational, and organizational change.