As IDNs look for opportunities to reduce costs while improving patient outcomes, utilization management takes on increasing importance. This session will use examples of evidence base medicine, utilization reduction, clinical outcome improvement and cost reductions leading to a deep dive diving into the Ochsner Clinical Pathways where physicians formally standardize products and processes by DRG and Disease State showing reduction of utilization while improving quality and clinical outcomes. We will also provide examples of Supply Chain/Nursing initiatives demonstrating CQO (Reducing Cost, Improving Quality and Clinical Outcomes) while decreasing utilization.