This document discusses a quality improvement initiative to reduce hospital acquired venous thromboembolism (VTE). VTE includes deep vein thrombosis and pulmonary embolism, which can be fatal. The document outlines Donabedian's framework for assessing healthcare quality using structure, process, and outcomes measures. It then applies this framework to assess the structure, processes, and intended outcomes of a VTE prevention strategy implemented at a healthcare organization. This included compulsory VTE risk assessment, appropriate prophylaxis ordering and administration, staff education, and ongoing performance monitoring to continuously improve outcomes of reducing hospital acquired VTE events.