 Current data at Crouse Hospital show that the fall rate on 4S is 5.05 per 1000 patient days, demonstrating significant opportunity for improvement. Data from the 6S shows a fall rate of 5.26 per 1000 patient days. As far as patient satisfaction, the percentage of patients who gave the 4S a 9 or 10 out of a possible score of 10 for overall rating of care was 56.29. Likewise the number of patients who would definitely recommend Crouse Hospital to others was 56.25. Both satisfaction questions Core IP Key Results: I would prefer to return to X without hesitation, if care is needed and I would recommend X without hesitation to others show significant opportunities for improvement. Preliminary call light usage gathered from the Hill Rom call light system, which is currently available only on 6S, showed 6,909 individual uses of the call light within a 4-week period. One can surmise from this number that patient issues are not being addressed in a timely manner and therefore significant opportunities for improvement exist. Only aggregate data will be collected. No subjects will be identified directly or through any identifiers. 