To improve urinalysis (UA) collection and result turnaround times (TAT) in the emergency department (ED). Prolonged ED stays negatively impact patient care quality, mortality, and satisfaction. Improving throughput requires timely diagnostic test results. Urinalyses are the third most commonly performed lab test after CBC and chemistry. Little has been published on successful strategies to improve collection and turnaround times for urinalyses. Initial process involved determination of current state by retrospective data query of urinalyses ordered in the ED of a Level 1 trauma center (annual volume of 117,000 patients). Turnaround times of urinalyses for all active ED patients ages 18 and up were compared over a 6-month period (June-November 2018). This included order time, collection time, and lab result time for 18,309 patients. Preliminary data analysis focused on areas most likely to result in shorter overall turnaround times. This was followed by a prospective 90-day pilot over 4500 UA samples, focusing on optimization strategies on collection which included (1) creation of a multidisciplinary taskforce, (2) development of EPIC orders with embedded fluid and in-and-out catheter orders, (3) UA tracker within EPIC that alerts nursing to collection delays, (4) team education addressing need to collect, (5) patient education on sample collection via provider scripts and educational signs, (6) and implementation of strategic algorithms to guide staff. Preliminary analysis of current state showed largest variance of times were from Time- to-Collection (120-240 minutes). Process changes focused on earlier UA collection as described above resulted in overall TAT decrease from 120 minutes to 90 min (26% decrease in total time). The time from Order to Collection was decreased from 87 minutes to 50 minutes (36% decrease). Times were also impacted by delays in transfer of specimen from ED to lab as well as lab processing; however, these times had much smaller range variance. It is of no surprise that EDs face a heightened degree of overcrowding. Although this is multi-factorial, urine collection can be one of the culprits predisposing providers to delays in disposition, which leads to extended lengths of stay for patients. UA TAT’s can be improved via process changes focused primarily on early collection of the sample. This is a novel project created with a focus on systems-based quality improvement. Through a multidisciplinary team approach involving providers, nurses, techs, and IT support, we developed simple pathways to expedite the collection process. Embedding fluid and catheterization orders within the initial UA order, using a UA tracker within EPIC alerting staff to collection delays, and team and patient education on importance of obtaining sample quickly were integral in reducing time to collection and overall TAT. The project is still ongoing. Our goal is to maintain a multidisciplinary team for process refinement, continue staff education, and optimize urine acquisition in the ED. It is our hope that these reductions in TAT will expedite dispositions and enhance overall patient care.