The test of change goal was to shorten the time between the last respiratory therapist (RT) assessment/bronchodilator treatment given in the emergency department (TED) and the first in-patient assessment/treatment (TMW). The test of change goal was to shorten the time between the last respiratory therapist (RT) assessment/bronchodilator treatment given in the emergency department (TED) and the first in-patient assessment/treatment (TMW). Before the test of change, TED was the last bronchodilator treatment ordered and given before the decision to admit. With the intervention, TED moves to T*ED (still the time of the last emergency department RT intervention) and ensures that assessment for bronchodilator treatment continues to occur every 2 h after the in-patient licensed independent practitioner (LIP) writes the in-patient orders, even if there is a delay in admission. TDC is the recorded time of discharge from the emergency department and admission to the medical ward. ED = emergency department. Jennifer R Cockerham et al. Respir Care 2016;61:1573-1579 (c) 2012 by Daedalus Enterprises, Inc.