Purpose: The purpose of this abstract is reducing delays in dispatch, deployment of the team and better utilization of the team services. The use of effective tools and workflows to facilitate seamless team dispatch and eliminate delays in deployment is the goal of all pediatric transport teams. As pediatric volume increases, so do delays and missed transports for both Neonatal and Pediatric Teams. The secondary effect of increased volume can compromise the timely transport required for the specialized care they need and potentially the safety of our smallest patients. Secondary to quality and safety, there is a financial impact of missed and delayed transports being brought into the system by ancillary services Methods: After one year of data collection and review regarding volume, time of call to time of team departure, delayed transports and missed transports; the need for process improvement was apparent. Following an 8 hour rapid improvement workshop involving multiple key stakeholders, a new dispatch process to provide standard work flow, transport acuity tool and second non-critical pediatric paramedic team were created with the goal of reducing delays and missed transports. The acuity tool was developed to decide the team composition and level of care needed. This tool is used by the lead paramedic to initiate the dispatch process based on systems involved, acuity, and urgency needed for procedures or interventions. This tool is available in the full publication to follow this abstract. Results: Outcome measures monitored following process implementation included: transport delays, missed transports, time of call to departure, and volume. In the first quarter post implementation, the following improvements have been noted: 21.3% decrease in delays, 20% decrease in missed transports, and time of call to departure over all decreased, while the volume stayed the same. Conclusion: Development of an acuity tool, adding a second non-critical pediatric paramedic team, and implementing new dispatch process where the lead paramedic is using these tools, after proper training to guide team composition and dispatch, decreases delay in team departure and increase availability to do more transports. Reference: David J. Mathison, MD MBA Evelyn Hickman, RN EMT-P, Scott James, RN MBA, Liz Berg, RN EMT-P, Jen Schuette, MD The CNMC TRIAGE/DISPATCH TOOL: a 3-step decision algorithm to improve operational efficiency and resource utilization for interfacility transport