NoticeMed Enterprise Care location messaging has been successfully utilized in the ER setting.  ER physicians can message, on their time, without having to involve a call operator,  the on-call hospitalists, with information about a proposed admission.  This message can include PIH information.  The on-call hospitalists can review the message, on their time, and respond with an acknowledgement, and acceptance of the admission, or request for more information.  The ER physicians can note this, again on their time. Neither the ER physician nor the on-call hospitalist needs to be interrupted to take a call, nor look up any call schedule or phone number.  Notes don’t need to be scribbled on pieces of paper.  No paging service or call operator need be involved.  Work flow is greatly eased.