MidMichigan Health-Gratiot is a 128 bed hospital located in Alma, Michigan. Our hospital joined the HMS collaborative in 2014. Our HMS team includes Dr. Atul Kapoor as physician champion, Marissa Palmer as our quality administrative lead, and Lori Tideswell as the clinical data abstractor. Also involved is Dr. Michael Stack Vice President of Medical Affairs. MidMichigan Health is dedicated to providing quality, comprehensive health care to our patients. The quality improvement initiative that we have implemented is our newly formed Tier I/Vascular Access Committee and working with this committee toward Tier II initiatives.