Genesys Regional Medical Center is a 410 bed hospital. Located in Grand Blanc, Michigan. Genesys is a Level II Trauma Center, and part of the Ascension Ministry. Our hospital joined the HMS collaborative in 2015. Leading our HMS team is Dr. Sunil Rao, D.O., M.H.A., FACC as Physician Champion. Along with Dr. Rao, we have Diane Scully, JD, MBA, CPHQ, CPHRM as our Quality Administrative Lead and Jackie Moore, RN, BSN as the Clinical Data Abstractor. Drs. Dennis DeSimone and Clark Headrick are also involved with the HMS-related work. We have implemented the following quality improvement initiatives related to HMS, to improve the quality of care for hospitalized medical patients: VTE Prophylaxis/IPC at every bedside; enhanced VTE Assessment tool for the EMR; modified policies and procedures for PICC insertion, and the use of 3M ultrasound imaging for PICC placement.