From the American College of Nuclear MedicineQuality and Safety in Health Care, Part VII Lower Costs and Higher QualityHarolds, Jay A. MDAuthor Information From Advanced Radiology Services and the Division of Radiology and Biomedical Imaging, College of Human Services, Michigan State University, Grand Rapids, MI. Received for publication August 30, 2015; revision accepted August 31, 2015. Conflicts of interest and sources of funding: none declared. Correspondence to: Jay A. Harolds, MD, Division of Radiology and Biomedical Imaging, College of Human Medicine, Michigan State University, Advanced Radiology Services, PC, 3264 North Evergreen Dr NE, Grand Rapids, MI 49525. E-mail: email@example.com. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.nuclearmed.com). Clinical Nuclear Medicine: February 2016 - Volume 41 - Issue 2 - p 134–136 doi: 10.1097/RLU.0000000000001035 Buy SDC Metrics Abstract The Institute of Medicine report entitled The Health Care Imperative: Lowering Costs and Improving Outcomes discussed numerous ways to decrease costs in the health care system without decreasing quality. The use of evidence-based medicine, eliminating wasteful spending such as needlessly high administrative costs, having more preventive services, having a better reimbursement system that emphasized quality, developing a less fragmented and more efficient medical delivery system, having more transparency for patients on the outcomes of different providers, having greater health care literacy for patients, and eliminating fraud were some of the recommendations. The total savings from eliminating unnecessary health care costs was estimated to be over 3 quarters of a trillion dollars each year. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.