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Q&A

Narcisse asks about ER staffing and provider-in-triage model

New York City Council · Oct 20, 2026 · starts 1:12:48 · 1 min 20 sec

Narcisse asks about emergency room staffing and whether provider-in-triage models have been sustained. Motzquist says staffing is variable and facilities use different models; provider-in-triage can speed initial care but does not always improve throughput.

Mercedes Narcisse

How are we doing with staffing in the ER?

Mercedes Narcisse

Because ER is important.

Mercedes Narcisse

If you don't get the patient to be seen in, they're not going to go anywhere.

Mercedes Narcisse

I hope there's no shortage there.

Josh Motzquist

You know, we could always use more resources, but staffing is important, and it's variable.

Josh Motzquist

We have, you know, physicians, nurses, patient care techs.

Josh Motzquist

I'm only naming just a few of the needs of our emergency departments.

Josh Motzquist

As you know, we're a complex, like a Formula One team.

Josh Motzquist

We all have different roles and responsibilities to address a patient in crisis.

Josh Motzquist

And when a critically ill patient comes in, a mass casualty, we have a lot of trauma centers.

Josh Motzquist

A trauma patient comes in, a whole lot of resources have to get consumed in that patient for.

Josh Motzquist

Quite some time sometimes to stabilize and save that person's life.

Mercedes Narcisse

H&H previously reported that provider in triage models reduced time to provider at Lincoln Hospital by approximately 20 minutes.

Mercedes Narcisse

Have those improvements been sustained and have similar models been implemented successfully at other facilities?

Josh Motzquist

Some of our facilities use a provider and triage model, and what that does is allow the physician or physician associate to see the patient sooner and start the care sooner.

Josh Motzquist

It doesn't necessarily always improve the throughput of the case there, and so we have to kind of vary and see what the value is of putting a provider up front versus being there throughout the entire patient experience.