Beaumont Health, Troy is a 520 bed hospital located in Troy, Michigan. Our hospital joined the collaborative in 2012. Our HMS team includes Dr. Michael Khoury as physician champion, Lori Culloty RN, MSN as our quality administrative lead and Leigh Christy RN, BSN as the clinical data abstractor. Dr. Parag Somalingam is 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: appropriate prophylaxis for high risk patients and no prophylaxis in our low risk patients. We are working on vascular device appropriateness and continue to meet the goal of less than 20% of PICC's placed in 5 days.