Currently at UCSF medicine patients are distributed to different floors and wings of the hospital with no consideration given to which primary team will be managing the patients.  This results in providers moving from one floor to another and back and forth between Moffitt, Long, and the ICUs on rounds and later in the day when providing patient care activities.  In many other teritiary care institutions across the United States, medical teams have a designated wing or floor where their admissions are automatically placed.  Not only does this streamline rounds, it also allows for providers to physically remain in one location throughout the day, which encourages them to see their patients more frequently, which in turn should increase pt satisfaction.  Additionally, it allows for physicians to have more contact with other members of the care team, such as nurses, PT and RT and other specialists who are already regionally based.  This should streamline communication among providers and save time and effort, as well as create more a team-based care environment in which providers learn to work together and improve job satisfaction.