Spectrum Health Hospital is a 1145 bed hospital located in Grand Rapids, MI. Our hospital joined the HMS collaborative in 2013. Our HMS team includes Dr. Liam Sullivan as physician champion, Sylvia Baird as our quality manager lead, Holly Elders as the clinical data abstractor and Kim Fredenburg who also helps with clinical data abstraction. Dr. Adam Edlund is also involved with the HMS-related work in regards to VTE. We have implemented a PICC Power Plan and a VTE Risk Assessment to be done within 24 hours of admission.