Institute for Healthcare Improvement. She’s Got a Ticket To Go Home. http://www.ihi.org/resources/Pages/ImprovementStories/ShesGotaTicketToGoHome.aspx . Updated 2014. Accessed July 25, 2014. In March 2004, the staff at Virginia Mason Medical Center (VMMC) in Seattle, Washington, decided there was a better way to keep patients and families informed and engaged with the discharge planning. Most of the 23 patients in VMMC’s Acute Care for the Elderly (ACE) unit receive a “Ticket Home” in the form of a white laminated board that’s placed in front of each patient’s bed.