This case provides the presentation slides from the Six Sigma project focused on decreasing patient wait time in the ER of an academic medical hospital. The various phases and tools of Six Sigma are demonstrated, and the project's pilot results are shown. The slide presentation also covers a Six Sigma overview and is useful for both executives and students studying Six Sigma methodology. See also the A case (UVA-OM-1058) and B case (UVA-OM-1078). A teaching note (UVA-OM-1058TN) is available for the A through C cases.