A road map on how to design, implement and sustain a successful Hospitalist Program. Insight into challenges, barriers that came along the way and what solutions were implemented to overcome those barriers. Adoption of CMS’s the Triple Aim, which we found to be a great foundation on how to improve outcomes and how it played a large role in our Hospitalist program. The Red Program from Boston University, and how we were able to duplicate and improve on the workflows of the program. How technology tied all these process to help achieve a successful, efficient and sustainable program.