“…Command centers have shown to be effective at coordinating complex interconnected sequences of processes thereby lowering patient journey time and reducing cost (Alhaider et al, 2019;Howell et al, 2008Howell et al, , 2010Kane et al, 2019;Lovett et al, 2016;Martinez et al, 2018;Villa et al, 2014;Yancer et al, 2006). Carilion Clinic, a level I trauma center in Roanoke, VA., has established a patient flow command centerthe Carilion Transfer and Communications Center that led to $1.5 million annual cost savings (Davenport et al, 2018;Morris & Carter, 2015).…”