University of Vermont Medical Center in Burlington developed this process to help facilitate discharges and transfers of patients who have no medically necessary reason to be in the hospital, said Steven Grant, M.D., associate chief medical officer of care coordination and patient transitions.^[1] Their beds are desperately needed by other patients—emergency department boarders, urgent day-of-surgery patients and pending outside transfers—but sometimes patients resist leaving for various reasons. Contact Grant at steven.grant@uvmhealth.org.