Emergency Department Crowding and Access Block Taskforce

Emergency Department Crowding and Access Block Taskforce

Role of the Emergency Department Crowding and Access Block Taskforce:

The Emergency Department Crowding and Access Block Taskforce is an international collaborative that aims to optimize the health of our patients by improving access to timely treatment within the Emergency Department. Working with the IFEM Quality and Safety Special Interest Group, the Taskforce is co-chaired by Drs Eddy Lang and Kim Hansen and has significant representation from all IFEM regions. Leadership is also provided by Arshia Javidan, a third year MD/MSc student at the University of Toronto.

The Taskforce aims to construct a collaborative approach to reducing crowding and access block in the Emergency Department. This will involve a pragmatic and implementable policy strategy that IFEM member organizations can use to leverage research and advocacy, an online resource page, as well as a community of support. A white paper will also be generated and published to capture key Taskforce guidance and accomplishments.


The Taskforce’s outputs will be stratified between various dossiers, including:

  • Evidence base for effects of crowding
  • Input and Demand management
  • Throughput
  • Output/boarding
  • Advocacy
  • Policy initiatives
  • Legal risk/regulatory violations
  • EMS Offload
  • Case studies/patient voices/mental health
  • Financial and human costs
  • International Experience
  • Local/On-the-ground leadership in the face of ED Crowding
  • Metrics

The taskforce is early in its infancy and continuing to develop. Inquiries and suggestions can be addressed to:

Eddy Lang – [email protected]

Kim Hansen – [email protected]

Arshia Javidan – [email protected]


Dr Eddy Lang | Co-Chair
Canadian Association of Emergency Physicians

Dr Eddy Lang is the Academic and Clinical Department Head and an Associate Professor in the Department of Emergency Medicine, at the Cumming School of Medicine, University of Calgary. He also holds the position of Senior Researcher with Alberta Health Services. He co-chaired the 2007 Academic Emergency Medicine Consensus Conference on Knowledge Translation which remains an ongoing interest. Dr Lang is a member of the GRADE working group and has led the development of GRADE-based clinical practice guidelines in pre-hospital care in the US and is currently engages in the same activity with the International Liaison Committee on Resuscitation.  Dr Lang is also an award-winning educator having received recognition at both the university, national and international levels.  He also serves as Senior Associate Editor for the Canadian Journal of Emergency Medicine and Associate Editor for ACP Journal Club and the International Journal of Emergency Medicine. He is also writes a quarterly column for the Calgary Herald on Evidence-Based Medicine.

Dr Kim Hansen | Co-Chair
Australasian College for Emergency Medicine

Dr Kim Hansen is an experienced Emergency Physician with a passion for Safety and Quality in healthcare.  Kim graduated from the University of Queensland with first class honours and a University Medal, completed her Emergency Medicine training in Melbourne, Australia and has recently completed an MBA with a Vice Chancellor’s Award. She works as Director of St Andrew’s War Memorial Hospital Emergency Department as well as a Senior Staff Specialist at The Prince Charles Hospital in Brisbane, Australia.  Kim is Queensland Faculty Chair for ACEM (Australasian College for Emergency Medicine), a member of ACEM’s “CAPP” Council, the Vice Chair of the ACEM’s Quality and Patient Safety Committee, inaugural Chair of Advancing Women in Emergency and was the inaugural Chair of the IFEM’s Quality and Safety Special Interest Group.  She supports clinician-led research through her role as Chair of the Board of the Emergency Medicine Foundation. In her spare time, she can be found playing basketball, netball or tennis and hiking with family, friends and her Cobberdog.

Arshia Javidan | Taskforce Coordinator

Arshia Javidan is a third-year medical student at the University of Toronto pursuing a concurrent MSc in System Leadership and Innovation. Arshia completed a Bachelor of Health Sciences at McMaster University, where he was actively involved in affecting health systems change through the McMaster Health Forum, a WHO Collaboration Centre for Evidence-Informed Policy. His interests lie in critical care, trauma systems, quality improvement, and medical education. Arshia is spearheading the Independent Student Analysis for U of T Med’s upcoming accreditation to lead positive curriculum reform and leading a national movement in transparency in accreditation. He is also a Stop The Bleed Instructor, and acts as the medical student lead for Stop the Bleed Instructors. Outside of school, Arshia is an avid traveler, competitive powerlifter, and enjoys cooking up a storm in his kitchen.

View all Members

Joseph Kalanzi

Haldun Akoglu, Pauline Convocar, Colin Graham, Paul Ho, Ramesh Maharjan, Cheng-chung Fang

John Bonning, Kim Hansen, Peter Jones, Simon Judkins

Central and South America
Bianca Domingues Bertuzzi, Eliecer Cohen-Olivella

Gautam Bodiwala, Adrian Boyle, Maaret Castrén, Taj Hassan, Katherine Henderson, Ian Higginson, Eric Revue

North America
Alix Carter, Jim Ducharme, Brian Holroyd, Arshia Javidan, Eddy Lang, Shirley Lee, David Lewis, Laurie Mazurik, Howard Ovens, David Petrie, Jeremiah Schuur, Venkatesh Thiruganasambandamoorthy



Global Response to COVID-19 for Emergency Healthcare Systems and Providers

This critical guidance developed by the IFEM Emergency Department Crowding and Access Block Taskforce was launched in a global town hall meeting webinar. Watch the recording of the webinar.

Emergency Department Crowding and Access Block in the COVID Era and Beyond: Webinar launch of the IFEM Taskforce Report

Download the Report

Download Slide Deck

Watch the webinar recordings

Webinar 1: North/South America and Australasian focus June 30, 2020 

Webinar 2: Europe, Africa, and Asia focus July 2, 2020

This page is also available in: Spanish