Overview: Our multi-institutional, multidisciplinary project aims to evaluate the effectiveness of a multimodal sleep hygiene bundle (“bundle”) versus standard of care to reduce the burden of delirium identified by nurse screening. We will describe the development, implementation and expansion of our four hospitals’ patient engagement processes and bundle interventions, including noise reduction, light regulation, staff clustering, daytime mobility and shifts in medication administration. Many professional organizations are emphasizing in-hospital restfulness, as promoted by the recent Centers for Medicare & Medicaid Services insertion of a restfulness Hospital Consumer Assessment of Healthcare Providers and Systems domain. We will provide a rationale, and a practical framework of interventions to guide organizations in promoting rest and patient engagement.