Vascular access teams have made enormous contributions to patient safety in the provision of intravenous therapy through patient assessment, device selection and catheter insertion. While the expertise of the vascular access specialist is well beyond the insertion phase, our current system does not support expansion of specialized multidisciplinary care that VAD patients should receive along the continuum of care to achieve positive health outcomes. This results in gaps of care, many of which are preventable, but who is claiming ownership of the problem? The goal of this session is to examine a Components of Vascular Access Care framework in support of a proposal to close the gaps in care with a patient-centric Multidisciplinary Vascular Access Service model. Peripheral VAD infection has been designated by ECRI as a top 10 patient safety concern for 2019. We will use this as an example of how a service model is needed and how a plan for addressing the problem might work in this framework.