The Ohio Move to Improve Campaign for Excellence was a systematic effort to work with 100 Ohio agencies to help them achieve measurable improvement in their acute care hospitalization and management of oral medications by July 1, 2012. It began on January 1, 2011. The first six months included data collection, training on a proven improvement model, and support for developing a new, responsive clinical model to improve re-hospitalization outcomes. From July 1, 2011 to June 30, 2012, participants were supported in making the right moves to improve the re-hospitalization outcome. Results showed significant improvements in hospitalization reduction.