In this discussion, Dr. Crafton Schreier, an Associate Professor of Emergency Medicine, and Dr. Maureen Kanaeus, a pioneering researcher on boarding costs, dive into the pressing issue of patient boarding in emergency departments. They reveal its adverse effects on patient care, staff wellness, and hospital finances. With insights from a recent study, they discuss the complexities of pricing patient boarding and the innovative time-driven activity-based costing (TDABC) method. Their conversation emphasizes the need for systemic changes to optimize patient outcomes.