The Center for Neuroimaging maintains 24/7 coverage for the entire Cleveland Clinic health system, including afterhours coverage for affiliates in Akron, Ohio, and Weston, Florida. Turnaround time is measured from the time of exam completion to the time that the finalized report is available in the electronic medical record for the requesting service. While Emergency Room and STAT studies are assigned a higher priority, all outpatient reports are now generally available in < 45 minutes. The reporting of outpatient studies has remained relatively constant over time during the first and third shifts. Due to high demands during second shift, the center increased staffing, which resulted in striking reductions in turnaround times that have remained constant over the past 3 years.