Technology is more commonplace in the healthcare setting, whether it is in electronic documentation, computerized physician order entry (CPOE), or barcode medication verification (BMV). For this reason, the American Nurses Association (ANA) identifies nurses need to be capable of performing necessary computer skills to function in the current healthcare system (American Nurses Association [ANA], 2015). The ANA identifies thirteen growing functional areas of nursing. Quality and performance improvement and educational and professional development are of most interest to me.Quality and performance improvement is a crucial focus of my current role. In the province of Ontario, the Emergency Departments (ED) has been faced with long wait times; it was not uncommon in at my organization for a minimum of 6 hours Physician Initial Assessment(PIA) for a less acute ED visit. The Provincial government introduced the Pay for Results (P4R) initiative in 2008 to combat this (Vermeulen, Stukel, Boozary, Guttmann, & Schull, 2016). The goal of the P4R is that hospitals able to exceed the targets set forth by the Ministry of Health and Long-Term Care (MOHLTC) receive additional funding. Those organizations not able to meet the targets have funding retracted. My organization’s ED was provided with funding that went towards things such as additional human resources (e.g., triage navigators, high activity nurse) and LEAN process improvement projects. The funding also allowed for the implementation of a Clinical Decision Unit (CDU), a Fast Track zone, and a Rapid Assessment Zone (RAZ). The P4R monies also supported the hiring of Geriatric Emergency Management (GEM) nurses, to promote our goal of being a senior-friendly ED.