Beaumont Farmington Hills is a 330 bed hospital located in Farmington Hills, Michigan. Our hospital joined the collaborative in 2012. Our HMS team includes Dr. Wiley Fan as Physician champion, Wendy Paulot(FH Manger) Lori Culloty(Corporate Manager) as our quality administrative and Donna Binns-Gordon RN BSN MS as the clinical data abstractor. dr. Eugene Laveroni is also involved with the HMS related work. We have implemented process educating new hires and current RN's of flushing protocol providng them with cards with the flushing protocol. Putting timed flushes in our MAR to decrease occlusion rate and developed criteria decision tool for Vascular Access team to consider appropriate device and number of lumens.