Using ED Overcrowding Assessment Tools to Improve Care and Throughput Webinar
Learn about the Dignity Health Emergency Department Overcrowding Scale (DEDOCS)

Webinar Recorded Live on May 29, 2014


When an ED becomes crowded, the entire hospital can suffer
In 2011, CHA’s EMS/Trauma Committee partnered with Dr. Steven Weiss to develop CEDOCS — the Community Emergency Department Overcrowding Scale — to measure and rate ED crowding.

Taking ED crowding assessment a step further
The CEDOCS tool provides hospitals with critical data, but how the information is used is much more important. This webinar explained how one health system leveraged CEDOCS to create a customized, research-based, evidence-based tool specific to California hospitals. Meet DEDOCS — the Dignity Health Emergency Department Overcrowding Scale. This webinar was about how DEDOCS is used to measure and analyze patient throughput and make adjustments to improve patient care before crowding becomes a problem. Find out how the DEDOCS tool can also help your hospital proactively plan for regulatory compliance by providing information needed for new TJC performance improvement standards.

Recommended for

ED directors, supervisors and managers; chief nursing, medical and compliance officers; licensing and survey teams; clinical staff and administrators; admissions.


Origins of CEDOCS — putting a number to overcrowding

  • ED crowding — a nationwide issue
  • What CEDOCS measures and why
  • Pilot study participants — information gathered, learned
  • How California hospitals with EDs can employ the tool

DEDOCS takes the scale to the next level

  • How DEDOCS was developed — 35 hospitals participating
  • What DECOCS measures and how — levels of crowding, reporting schedules
  • How the data is used to improve throughput, quality of care
  • How DEDOCS can quantify improvement for TJC compliance
  • Best practices and lessons learned


Steven Weiss, MD, is an experienced clinician, educator and researcher in the field of Emergency Medicine. With more than 100 publications to his name, he is well known for his work in ED crowding, injury prevention and emergency medical services. In 2002, Dr. Weiss coordinated and designed the National ED Overcrowding Scale (NEDOCS) study which represented eight major academic institutions nationwide. Since that time he has been involved in numerous ED crowding studies including, most recently, the Community ED Overcrowding Scale study in California. Dr. Weiss is a full-tenured professor of Emergency Medicine.

Aaron Wolff, RN, is the Trauma Service Line and Pre-Hospital Care manager for Dignity Health at the Mercy Medical Center in Redding. Mr. Wolff has held several positions for Dignity Health including corporate manager of Performance Improvement and director of Emergency and Trauma Service at Mercy Medical Center and director of Emergency Services and Endoscopy at the Redding Medical Center in Redding. Mr. Wolff is a registered nurse, public health nurse and a board certified emergency nurse. In addition, he is an instructor in Trauma Nurse Core Curriculum.