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Emergency Medicine

Design your ED to move faster.

Sound 360° designs the entire visit so that each step prepares for the next, from triage through evaluation and treatment to discharge or admission. 

See how it works

Faster throughput

19% discharge LOS improvement1

Sound treats disposition as a designed part of the visit. Planning begins during evaluation, and a six-step bedside close helps patients leave understanding their care and what happens next.

  • Early planning: Start preparing for discharge during evaluation.
  • Bedside close: Give patients a clear, consistent understanding of their diagnosis, testing, safety, and next steps.
  • Coordinated execution: Align clinicians, nurses, orders, and final disposition so the decision triggers movement.

Target: Discharge home in under 30 minutes once the decision is made.

Admitted sooner

33% admission LOS improvement †

A coordinated ED-to-inpatient approach aligns status decisions, clinician handoffs, bed placement, and transport so the next phase of care can begin sooner.

  • Rapid status decision: Determine inpatient versus observation status in minutes.
  • Clinician-to-clinician handoff: Create a clear, consistent transfer of responsibility.
  • Bed placement and transport: Prepare the appropriate bed early and reduce avoidable delays in moving the patient.

Target: Inpatient versus observation status within 10 minutes and the admission process completed in under 60 minutes.

What sets Sound 360 apart

Adapt the front end to your department’s demand, patient mix, and physical space, with accelerated triage, split flow, bedside registration, or another approach where it fits.

  • Accountable local leadership.

    An on-site medical director works alongside hospital and nursing leaders to align teams, reinforce priorities, and own performance.

  • Predictable costs. Shared accountability.

    Bring operational and financial discipline to the model, aligning fees to performance and reducing unnecessary program expense.

  • Stable teams. Less premium labor.

    Build cohesive permanent teams first and reduce unnecessary dependence on temporary staffing.

  • Clear data. Clear next steps.

    Use consistent dashboards, shift huddles, and operating reviews to make barriers visible and keep improvement moving.

Where does your ED need to move faster?

Start with the pressure points that matter most. Ensure each part of the visit prepares for the next.

Choose the path that fits your hospital

Explore how to improve care, strengthen performance, and protect financial stability. 

Build a stronger ED

See how local leadership, stable teams, and national expertise support your goals.

Meet our physician CEO

Dr. Tony Briningstool shares what it takes to build a high-performing, patient-first Ed.

Gains across the ED

See results in faster evaluations, fewer walkouts, and shorter stays.

Proof in practice

Explore how hospital partners improved patient flow and coordination across care teams.

Explore a partnership

Provide the care your patients deserve

Let’s connect

What sets us apart

You want an ED that moves. Safer, faster, and with dignity for every patient. We prioritize the front end for accelerated care: efficient triage and faster arrival-to-care initiation. With clinician-led teams, reliable emergency department management, and an on-site medical director who knows your community, we align to your goals and reinforce the plan every shift alongside your hospital and nursing leaders—so your ED is a catalyst for uncompromising care.

  • Faster flow, improved throughput.

    We customize a coordinated front-end model that fits your department—whether split-flow, accelerated triage, or bedside registration—paired with timely oversight to spot barriers and act. All designed to provide shorter arrival-to-clinician times and reliable ED flow.

  • Accountable, on-site leadership that owns performance.

    Our medical director takes ownership and accountability for your ED’s operational performance, works collaboratively with your nursing leadership to drive caregiver alignment, and is backed by Sound’s skill-development tools to enhance their transformational leadership.

  • Fixed costs, shared risk, predictable budgets.

    We’re your trusted partner in financial stewardship, driving value while working to reduce costs. We can tie a portion of fees to performance, strive to reduce subsidies where feasible, and lead with a plan to reduce total program spend.

  • Stable, well-staffed teams, minimizing premium temp labor.

    We build cohesive, stable teams that are aligned on our patient-first culture of excellence, reducing your reliance on temporary labor and deploying practice management expertise to maximize your partnership.

  • Clear data, clear next steps.

    Clear dashboards and reliable routines create transparency and momentum. We pair thoughtful care and clinical excellence with disciplined management that includes daily shift huddles, weekly throughput and quality reviews, and monthly operational reviews to help enhance ED throughput.

Hear from our physician CEO of Sound Emergency Medicine

“With local clinician leadership and a patient-first culture, we’ve driven 20-minute door-to-clinician times and a 14% drop in left without being seen, partnering with you to set the bar for excellence.”

— Tony Briningstool, MD, FACEP, CEO, Sound Emergency Medicine

  • Who we are

    Dr. Tony Briningstool introduces a patient-first practice grounded in teamwork, local leadership, and decades of frontline experience.

  • 4 key differentiators

    Patient-first culture; intentional leadership development for medical directors; collaborative partnership with hospital leaders; clinical excellence that meets—or beats—industry benchmarks.

  • Measurable results

    System-wide improvements—driven by disciplined flow and daily operational focus.

  • What to expect when we partner

    Full ownership of a seamless transition, clear 30/60/90-day performance goals, and locally led teams aligned with your leaders, so your emergency department sets the bar for safe, efficient, patient-centered care.

Gains across the ED2

Door-to-clinician time

50%

Improvement

Left before treatment complete

40%

Improvement

Median discharge length of stay

16.5%

Improvement

Median admission length of stay

33%

Improvement

Shortening discharge length of stay

When it’s part of your daily ED operations design, discharge efficiency improves. By standardizing how visits are closed, we reduce delays and improve clarity for patients and the people caring for them:

  • Bedside discharge: conversation covers diagnosis, testing, safety, next steps 
  • Early coordination: nurses work with the team to prevent end-of-visit delays 
  • Discharge alignment: orders for out-the-door execution

Reducing admission length of stay 

Standardizing and accelerating ED-to-inpatient transitions helps reduce boarding, safety risks, and throughput breakdowns.

  • Decision to admit: target is within 60 minutes 
  • Clinician handoff: structured clinician-to-clinician communication 
  • Rapid admission: standard protocols, pre-aligned service-line agreements
  • Streamlined flow: bed assignment, standardized nursing handoffs

Explore proof in practice

  1. Source: Sound Physicians internal data from Jan 2023 vs Nov 2025.  ↩︎
  2. Source: Sound Emergency Medicine internal partner performance data from Jan. 1, 2023, through Jan. 1, 2026.  ↩︎