Delayed handovers from emergency medical services (EMS) to the emergency department (ED) can significantly increase the risk of medical complications. This article describes a two-phase quality improvement project to decrease overall handover times as well the percentage of handovers occurring more than 60 minutes after arrival. Strategies included creation of a designated area for patients awaiting hospital admission, detailed written policies, and regular meetings between ED staff and ambulance services to improve working relationships and communication. This resulted in a decrease in the percentage of handovers more than 60 minutes after arrival from 9% to 0.2%, and an increase from 52% to 69% of handovers completed in 15 minutes or less.