A care transformation team formed to analyze the workstreams associated with the leukemia practice at an NCI designated cancer center. The team developed three initiatives, one of which was addressing the admission and treatment initiation efficiency for newly diagnosed leukemia patients. The oncology inpatient bed status is nearly always at full capacity; therefore, the team identified three areas which increase the length of stay: 1) time needed to complete assessment and work up, 2) genetic testing result time and 3) delayed starts in treatment. Three EHR tools were developed to address each area. During the assessment and work up phase, the patients are often admitted. The transformation team determined there was a subset of the new leukemia population which could have the assessment and work up performed as an outpatient and then later admitted once the treatment course was identified. A unique visit type and scheduling resource was created to facilitate the rapid scheduling and assessment of these patients. From July 2021-Aug 2022, 7 patients used this pathway, and from Sep 2022-Aug 2023, 21 patients used this pathway. To expedite genetic testing for admitted patients, an EHR instant messaging group was created to enable the inpatient provider team to communicate the urgent need for diagnostic results to the pathology team. This data is difficult to pull retrospectively, but there were two conversations in January 2024. To address the delayed treatment starts, an EHR alert to the providers and two notifications to the nurses’ mobile device were created. The provider alert fired 372 times and the nurses received 1,694 notifications from September 2022 through August 2023. After the implementation of the EHR tools focused on decreasing the length of stay for newly diagnosed leukemia patients, there was a 1.5-day (36 hours) reduction in length of stay.