Recorded Webinars

Urgent care centers are big business. From this 90 minute recording learn about the fundamentals of an effective urgent care center.

According to a study published in Health Affairs, between 13.7 percent and 27.1 percent of patients who visit emergency departments could have obtained care from a retail clinic or urgent care clinic (UCC) instead, a move that could reduce U.S. health care spending by up to $4.4 billion annually.

A participant from a previous UCC webinar had this to say: "I have to be honest, I was told to go to this seminar. I was not looking forward to it, however your information was REALLY good and timely. I have gotten so burned out in trying to find a reliable person to get information from to benchmark against. You have provided this. I will be attending the next seminar as well." Roger T. from Salem Health

Topics covered:

  • What is the history of UCCs and what made many fail and some succeed?
  • Is the UCC a useful “demand-management” strategy with over burdened EDs?
  • How will health reform impact the use of UCCs?
  • What are the new CMS “wellness-visit” codes and how may they be used for UCCs?
  • What are the volume, cost and revenue parameters for a successful UCC?
  • What are typical sizes and configurations for UCCs?

Mike Williams, MPH/HSA
President, The Abaris Group
Mike has over 37 years of experience working with hospitals and healthcare organizations on a variety of health topics including evaluating the outpatient, ED and inpatient environments. He has been a speaker for the National Association of Freestanding Ambulatory Care (NAFAC) centers and has authored several articles on the subject of UCCs.


Learn about advanced strategies for improving patient flow in the ED and in the inpatient setting during this 90 minute recording.

Emergency departments (EDs) across the country are continuing to struggle with long waits and delays in patient processes including hospital admissions. In a recent survey, 43 percent of the EDs in the country continue to struggle with ED flow issues, with the percentages higher for smaller EDs (57 percent) and larger hospitals at 53 percent. In many cases ED admissions are delayed because inpatient beds are full. The cost of adding hospital or ED beds, upwards to $2 million per bed, makes it virtually impossible to try a “brick-and-mortar” solution. Hospitals have tried many strategies to “fix” the problems only to have rapidly increasing patient volume (ED volume is growing 5-8 percent in most markets) to overshadow these efforts. Learn the most advance strategies to respond to and find long-term solutions to ED and inpatient flow challenges.

Topics to include:

  • Advanced flow strategies when you still can't hit your goals for TATs
  • Review of advanced re-engineering tools and which are the most effective (i.e., LEAN redesign & The 5s/Kaizen/GLEMBA)
  • State-of-the-art ED patient intake models
  • Conduct advanced modeling of arrival times and length of stay to match capacity to demand
  • Find transition and handoff opportunities among care teams (ED to floor, days to nights, discharges etc.)
  • Quantify the financial impact of improving patient flow
  • Create the most effective and sustainable patient flow team - what works and what does not


Jeff Wood RN, BA
VP Hospital-Based Services, TEAM Health

Jeff is an experienced leader in improving the care of patients in the Emergency Department and Inpatient settings. His specialties include improving operations of the ED and urgent care, development of balanced scorecards to track improvement, and facilitation of rapid-cycle improvement to improve the patient's and the staff's experience. He has a strong skillset in collaborating with physicians, executives, and staff to achieve the highest results. He is an experienced ED manager (16 years) and ED consultant refining the patient experience in a variety of clinical settings.

Mike Williams, MPH/HSA
President, The Abaris Group
Mike has greater than 30 years in operations, design and operational improvement of EDs across the country. He was the senior consultant to Urgent Matters, The Robert Wood Johnson Foundation project on improving throughput for hospitals across the country. He has assisted 275 EDs nationally on ED issues from strategic planning, operational improvement, design and financial performance.


Get up to date on the newest design strategies to improve your hospital's ED. This 90-minute webinar will fill you in on what you need to know.

According to the Healthcare Financial Management Association (HFMA), 51 percent of all hospitals are building new or re-designing their old ED. It is not uncommon to hear staff in a relatively new ED complain about its design and "whoever" designed the "last" one. Yet, many lessons are known about optimizing the ED design for the future and those mistakes that have been made are also now well known.

From this webinar learn:

  • -How do I calculate ED bed needs?
  • -What operational innovations are being implemented to improve throughput?
  • -How do I evaluate major ED design alternatives?
  • -What are the key throughput strategies to help with the ED's design?
  • -How does the ED respond to hospital bed need issues?
  • -How can I best plan facilities to response to possible natural or man-made "events?"
  • -How to develop an ED design which is responsive to Health Reform?
  • -What are the typical, low-hanging fruit options short of a complete ED design makeover?
  • -What are seven high-leverage ED throughput design strategies?
  • -What are the most common ED design errors made?



John Boerger, RA, NCARB

Principal Architect/Planner, The Design Partnership

John is an architect specializing the planning and design of healthcare facilities. He is the senior partner in The Partnership LLP, Architects and Planners. John has worked with The Abaris Group on several studies of Emergency Departments as well as designing and building emergency departments for California hospitals. His ED experience includes: Sharp Grossmont Hospital, La Mesa, CA, UC San Francisco Medical Center, VA San Francisco Medical Center, John C. Lincoln Hospitals, Phoenix, California Medical Center, Los Angeles, Sacred Heart Hospital, Eugene, OR, and others. John’s experience in master planning, programming, technical facility planning and design spans 40 years. His personal commitment and professional expertise with specialized systems of high technology facilities has improved the efficiency of operations, and environment. The acknowledgment of John’s abilities has led to speaking engagements to American College of Emergency Physicians, Canadian Emergency Department conference, American Society of Healthcare Engineers and others. His work has received multiple national awards.

Mike Williams, MPH/HSA

President, The Abaris Group

Mike is an acknowledged expert with the overall design and operations of an EDs and has particular expertise on the planning and implementation of new breakthrough designs for smooth running EDs. The Abaris Group has conducted space planning, volume projections and architectural support for 145 EDs throughout the US. For many years, Mike was a faculty member of the Harvard Graduate School of Design on “The Future Design of Emergency Departments,” a multiyear program organized by two nationally-recognized ED design architects. Mike's expertise also encompasses EDs and trauma centers -- their design, process and marketing. Another specialty is pediatric ED studies for freestanding children’s EDs and those imbedded in current adult EDs. The Abaris Group is also considered the nation’s leader on ED and trauma center finances including charge, registration and billing functions.


The Affordable Care Act (ACA) is very near with a 2014 implementation date. More people will be insured but what will happen to reimbursement especially for EMS providers? Fee-for-service will be out and replaced by “value-based” compensation. The Abaris Group has assembled an excellent panel of three experts to help you understand the issues.

This 90-minute webcast focuses on transforming your EMS delivery system to achieve true compatibility with the triple aim of health care reform, improving care, and cost and quality. An overview of the many innovations that are being explored across the country with an emphasis on “Mobile Health Care” are included. In addition, this webcast discusses specific strategies for EMS providers, other health providers and payers to develop “win-win” strategies within the changing health reform landscape. 

The webcast is available on The Abaris Group's YouTube channel. You can view it here. The presentation is available on The Abaris Group's blog.


This CD covers the burgeoning develop of two breakthrough episodic care delivery systems: MinuteClinics and Freestanding Emergency Departments (EDs).

This Webinar covered the burgeoning develop of two breakthrough episodic care delivery systems: MinuteClinics and Freestanding Emergency Departments (EDs). Learn from the experts on:

  • What is the market for MinuteClinics and Freestanding EDs?
  • What five steps can you take to get your charge master in order?
  • What is the patient population?
  • What providers are used?
  • What are the cost structures?
  • What is the revenue model?

Presented by:
Mike Williams, MPA/HSA, President, The Abaris Group

Kelly Larkin, MD, Medical Director, Minor Emergency Centers, St. Luke's Health System


This 90 minute CD will teach you about factors that lead to increased ED & EMS diversion.

This 90 minute CD will teach you about factors that lead to increased ED & EMS diversion including:

  • 10 community steps to dramatically reduce ED diversion
  • Preparing effective diversion policy guidelines
  • 11 best-practice steps to enhance ED flow
  • 13 high leverage steps to improve inpatient capacity
  • A case study description: Sacramento County Region, CA
  • Included with the CD is a file with the slide presentation.

Presented by:
Bob David, VP, Hospital Council of Northern & Central California

Mike Williams, MPA/HSA, President, The Abaris Group


Learn from this informative CD about improving on-call coverage for your ED and/or trauma center.


  • How serious is the problem of on-call coverage and what hospitals are doing about it?
  • 16 options for paying call - which ones are the best?
  • Four critical mistakes hospitals make by "paying" for on-call coverage
  • How do you get the data to analyze this problem?
  • Who are the key specialists and what are some of the benchmark payments for them?
  • How to develop a "win-win" on-call program that is designed to stabilize the problem
  • What are the best payment options in effect today?
  • What are the unique challenges of in-house & on-call trauma center physician coverage & how they may be overcome


Roger Heroux, MHA, PhD, FACHE + Martin Buser, MPH, FACHE

Founding Partners, Hospitalist Management Resources, LLC
Martin and Roger each have over 30 years of experience with hospital operations and consulting services. Martin Buser served as Executive Vice President of Scripps Health in San Diego and Roger Heroux served as Vice President/Regional Officer for Spectrum Health Services. In their consulting roles over the past 15 years, Martin and Roger have assisted over 150 hospitals with the development of effective ED call panel compensation programs and 350 hospitals with the design and enhancement of Hospitalist Programs. They speak nationally at various seminars.

Mike Williams, MPA/HSA
President, The Abaris Group

Mike has greater than 30 years in operations, design and operational improvement of EDs across the country. He was the senior consultant to Urgent Matters, The Robert Wood Johnson Foundation project on improving throughput for hospitals across the country. He has assisted 275 EDs and trauma centers nationally on ED and Trauma Center on-call, compensation and contracting issues.


A freestanding emergency department (FSED) is a facility that is structurally separate and distinct from a hospital and provides emergency care. It's a popular topic in the emergency care field. Learn about designing and implementing an FSED with The Abaris Group during this 90 minute webinar recording.

A freestanding emergency department (FSED) is a facility that is structurally separate and distinct from a hospital and provides emergency care. There are two distinct types of FSEDs: a hospital outpatient department (HOPD), also referred to as an off-site hospital-based or satellite emergency department (ED), and independent freestanding emergency centers (IFECs).

The number of FSEDs in the country have doubled during the past decade, up to 284 in 45 states. One characteristic fueling this sector is a greater demand for emergency care (up 30% in non-rural emergency departments from 1990 to 2009), coupled with a decline in hospital emergency departments (in non-rural areas, down 27% from 1990 to 2009), according to a May 18, 2011, report by "The Journal of the American Medical Association."

Many hospitals and investors see the FSED as a lower cost and more accessible product and one that is more responsive to the increased demand by consumers to have options to the long waits in hospital emergency departments (EDs).

The California Healthcare Foundation asked The Abaris Group to analyze the FSED market in California. Click here to read the report.

During this webinar, you will learn:

  • What are the latest national and local trends in the development of freestanding EDs?
  • What are the necessary steps to implement a FSED?
  • Why FSEDs are important, as well as pros and cons of developing an FSED?
  • Why consumers willing to pay more out-of-pocket expenses?
  • Why are consumers taking a more "do-it-yourself" approach to healthcare decision making?
  • What does the experience of the St. Luke's FSED in Houston have to teach us (case study)?


Kelly J. Larkin, MD, FACEP
The Larkin Group

Dr. Larkin has been working with FSEDs for 15 years and currently works with 11 FSEDs in six different states. She has hands-on experience in the development, design and operation of 20 FSEDs. Dr. Larkin currently serves as the President and Chief Executive Officer of Medical Center Emergency Physicians™, which provides physician staffing and management to the Texas Medical Center. Dr. Larkin is the Service Chief of Emergency Medicine for the CHI St. Luke’s Health System and serves on the Medical Executive Committee, the Independent Practice Association (System) and as a board member of the Texas Association of Free-standing Emergency Centers. 

Joseph Robertson
Chief Operating Officer
The Larkin Group

In 2000 Joseph was a primary leader in the planning, startup and operations of the first freestanding emergency departments in the Southwest U.S. Like his partner, Dr. Larkin, he has hands-on experience in the development, design and operation of 20 FSEDs. Currently, Joseph is the COO at The Larkin Group. The firm has expanded from support and affiliation of CHI St. Luke's Health System in the Texas Medical Center to services and sites throughout the Greater Houston Area. Currently, The Larkin Group has clients outside of Houston, as well as clients in 5 other states. He works very closely with the firm's FSED product line.  As one of the nation’s early pioneers in the field he continues to be a leading consultant to hospitals and independent operators to develop and promote and define the growth of the national freestanding emergency market.

Mike Williams, MPA/HSA
The Abaris Group

Mike is the president of The Abaris Group, a firm that specializes in regional and provider healthcare studies. He has personally conducted greater than 350 studies on improving healthcare performance at the system, provider and payer levels. He is a recognized expert on outpatient and inpatient healthcare performance, benchmarking and financing specializing in urgent care, retail health, FSEDs and EDs. He is a frequent contributor to the Healthcare Advisory Board, Healthcare Leaders Magazine and to a number of healthcare systems. He has been a senior faculty member for The Robert Wood Johnson Foundation’s Urgent Matters Project (, a 10-hospital national collaborative.


This audio CD recording of "Hot Topics and Strategies in Emergency Care" includes a copy of the presentation.

This audio CD recording of "Hot Topics and Strategies in Emergency Care" includes a copy of the presentation.


This audio CD recording of "Implementing New Product Lines in the ED" includes a copy of the presentation.

This audio CD recording of "Implementing New Product Lines in the ED" includes a copy of the presentation.


EDs and trauma centers are considered classic hospital money losers. Or are they just designed to loose money? Find out how to optimize ED and trauma center revenue.

EDs and trauma centers are classic hospital money losers or are they designed to loose money? The Abaris Group has learned from over 30 years of consulting experience of its senior staff that most EDs and trauma centers loose money because they do not have the key tools and procedures in place to make money. ED and trauma center revenue strategies can typically improve their bottom line from $1.2 to $3 million per year by following a few key steps. From this 1.5 hour webinar you can learn about:

  • What does an ideal ED and trauma center charge master look like?
  • What are the special codes used for trauma centers and for critical care?
  • What are the 13 unique payers and why are they so important to EDs and trauma centers?
  • What is the best way to implement a point-of-service collection system?
  • What special training do registration and business office people need?
  • What key steps can physicians take to improve their ED and trauma center revenue?

Presented by:

Mike Williams, MPA/HSA
The Abaris Group

Mike has 35+ years of experience working with hospitals on a variety of topics inlcuding evaluating the revenue streams for EDs and trauma centers. He has been a speaker for ACEP's ED Reimbursement Seminar for several years and was a frequent speaker for the American Trauma Society on revenue issues. He was also frequently asked to be an advisor for The Advisory Board on ED issues and is an editorial panel member for the publication "ED Mangement."


From this 90-minute recording you'll learn about how to convert your ED into a geriatric ED and how to best provide palliative care in the ED.


The ED is a unique environment where highly specialized care is delivered to the acutely ill and injured and safety net care is provided to disenfranchised and vulnerable populations. The special care needs of older adults, unfortunately, are not aligned with the priorities of how ED physical space is designed and how ED care is rendered. The ED is likely to be disproportionately affected by the aging population. In 2002, approximately 58% of 75-year-olds had at least one visit to an ED, as compared to 39% of those of all ages, and ED use increased with increasing age. A recent survey found that only two percent of the hospitals in the country have a special geriatric ED in place (Source: HealthLeaders Media, May 2012).

Once in the ED, older patients are more likely to have an emergent or urgent condition, be hospitalized, and be admitted to a critical care unit. In addition, older patients are also more likely to receive a greater number of diagnostic tests, spend longer times in the ED, and have higher charges for their ED services than younger patients.


  • What is a geriatric ED (GED)
  • Making a case for a GED
  • Barriers to success of GEDs
  • GED case studies
  • What is on the horizon for GEDs


Dr Mark Rosenberg, DO, MBA, FACEP, FACOEP-D
Chair of Emergency Medicine, Chief of Geriatric Emergency Medicine, Chief of Palliative Medicine
St Joseph's Healthcare System, Paterson NJ

Dr Rosenberg oversees the care of more than 130,000 (2011) adult and child visits each year. Dr. Rosenberg's career experience is evidenced in many innovative programs that he championed including the GED. The GED at St. Joseph’s Healthcare System in Paterson, NJ sees greater than 25,000 seniors a year. The GED gas a goal of "Improving Quality Emergency Care for Functionally Independent Seniors." Dr Rosenberg, a PCOM graduate is board certified in Emergency Medicine by AOBEM and ABEM. He is also certified in Hospice and Palliative Medicine by ABEM. He received his MBA in Medical Management at St Josephs University were he studied Physician Compensation Strategies.



This audio CD recording of "Retail Health Care: Freestanding EDs and Retail Centers" includes a copy of the presentation.

This CD on retail health care covers the following:

  • The latest trends in the development of freestanding EDs
  • The necessary steps to implement
  • Why they are important, as well as pros and cons
  • Why consumers are willing to pay more out-of-pocket expenses for health care
  • Why today's consumers are taking a "do-it-yourself" approach to healthcare decision making
  • How retail clinics are promoting new products for home care and less dependence upon physician care

Presented by:
Kelly J Larkin, MD, FACEP, Associate Medical Director of Emergency Services, St. Luke's Episcopal Hospital Minor Emergency Center

Joseph Robertson, Director, St. Luke's Episcopal Hospital Minor Emergency Centers

Mary Kate Scott, Founder and CEO, Scott & Company


Order this CD of the three part series delving into the specifics of what is needed for a community paramedicine program -- the fundamentals, the financing and the data needed. 

The following Transforming EMS recorded webinars are designed to drill deeper into the specifics of how to set up a community paramedicine (CP) program and how EMS systems and providers might leverage the opportunities available through Health Reform for their community. The style of these 60 minute sessions are designed around details that every EMS entity is asking: the why's, how's and next steps for implementing this innovative strategy.

Each session will have a 30 minute didactic section from national experts, Matt Zavadsky of MedStar Mobile Healthcare and Mike Williams of The Abaris Group, and then be followed by 30 minutes of Q and A. By purchasing the CD, you will have the audio/video, slide deck and Q & A for all three sessions.

Session One: So You REALLY Want To Do This? Community Paramedicine 

Duration: 60 Minutes

  • What are the first steps?
  • What is motivating your agency to consider CP?
  • What are the laws and regulations?
  • What are three examples of thriving programs today?

Session Two: Show Me The Money! Financing for a Community Paramedicine Program

Duration: 60 Minutes

  • What are the basics?
  • How do you determine how much it's going to cost?
  • How do you determine how much reveune you'll make (charging and billing)?
  • What are the start up and initial funding strategies?

Session Three: Data Delirium -- Successful CP Programs Depend on Data

Duration: 60 Minutes

  • What are the key data collection points?
  • How do you collect them?
  • How do we measure true "value" and impact on "outcomes?"
  • What does an effective CP dashboard look like?