Royal Oak Beaumont Hospital is a 1100 bed major academic and referral center located in Royal Oak, Michigan. It is the largest hospital in the Beaumont Health System. Our HMS Team includes Dr. Ali Farhat as Physician Champion. Lori Culloty, RN as our administrative lead, and Arthur Wensink,RN as the Clinical data abstractor. Drs. Marijanovich, Bahl, and Kirsch are also involved with the HMS-related work. We have implemented many improvement initiatives related to HMS to improve the quality of care for hospitalized medical patients. Specific interventions include updating our VTE Risk assessment in collaboration with Information Technology and decreasing single lumen PICC use and PICC's in for less than 5 days.