This case study examines St. Mary's General Hospital's (Canada) quality improvement plan for 2014/15, focusing on initiatives to reduce emergency department wait times, staff injuries, and patient falls. The hospital set goals, analyzed data against benchmarks, and implemented strategies such as the PEEP method and 'tuck in' procedures to improve patient safety and financial performance. The analysis covers financial challenges, OR room utilization, and ALC patient management, highlighting areas for improvement like bed management and patient discharge planning. The hospital's progress, including the implementation of a Patient and Family Advisory Council and strategic priorities, is assessed, alongside anticipated outcomes and key actions for 2015/16, such as the continued development of the Lean Management System and Arrhythmia Center.