Hillsdale Hospital is an 86 bed hospital located in South Central Michigan in Hillsdale County. Dr. Karen Luparello acts as our Physician Champion and John Robertson acts as our Quality, Administrative lead. Amy Stoll is our Lead Clinical Abstractor. We have implemented daily audits of all Acute Care Medical patients and discuss prophylaxis concerns in our clinical daily huddle in an attempt to reduce the incidence of chemical prophylaxis for low risk patients and non-prophylaxis is high risk patients. We have educated our Radiology team regarding the protocols / best practices introduced by HMS for PICC line insertions and have now tasked our Hospitalist Team to assist in the reduction of short term PICC's.