
The Current Would you wait in a virtual queue at an ER?
Feb 25, 2026
Dr. Stephen Smith, an emergency physician and VP of medical affairs who built a virtual ED waiting-room, explains a system letting low-acuity patients wait at home and get texted when to come in. He discusses inspiration from theme-park fast passes, how the online signup and safety checks work, pilot results showing big time savings, and plans to scale and integrate with community care.
AI Snips
Chapters
Transcript
Episode notes
Patient Used Virtual Queue And Avoided Long Wait
- Patricia St. Jules used the virtual queue for an ear infection and waited under three hours total, far shorter than prior 10–14 hour waits.
- As a senior she preferred waiting at home to avoid exposure to other illnesses in the hospital waiting room.
Disney FastPass Inspired Virtual ED Queue
- Stephen Smith got the idea for a virtual ED queue after using Disney's FastPass system to avoid long ride lines.
- He noticed guests were notified when wait times were reasonable and thought the same notification model could reduce hospital waiting-room congestion.
How The Virtual Waiting Room Actually Works
- Patients sign up on the hospital website, confirm symptoms match an eligibility list, and receive text updates on their position before being told to come in.
- The system uses text notifications and a clear symptom list so lower-acuity patients can wait at home and arrive only when their turn nears.
