Jane McCrea, a 25-year veteran of nursing management with a history of nursing-leadership roles and significant work experience, was eager to apply her newly acquired knowledge of the Six Sigma improvement methodology to the Emergency Department (ED) Wait Time project at Academic Medical Hospital (AMH). The ED Wait Time project was one of the first Six Sigma improvement projects undertaken at AMH, which were being led by Black Belts like McCrea. In this short case, the student must develop some proposed action plans regarding the project. This case should be used with the three-case series "Six Sigma at Academic Medical Hospital" (UVA-OM-1058, UVA-OM-1078, and UVA-OM-1079).