 In 2016 we initiated an enhanced recovery after surgery program for colorectal surgery. We had noticed that there was tremendous variation in how the patients were cared for after their surgery and variability in their outcomes. Now enhanced recovery after surgery uses evidence-based interventions that are shown to correlate with positive outcomes so we not just avoid harm but we promote a good outcome for the patient. By doing so over the first two years we were able to shorten the length of stay after colorectal surgery by two full days. We also decreased the variation in the length of stay between patients. We decreased opioid usage by two-thirds and that is shown to decrease untoward side effects due to opioid usage. We also decreased our overall complication rate by 30 to 40 percent. So using techniques of standardization around evidence-based interventions we were able to promote better outcomes for the patient, a shorter length of stay for our facilities and more consistency among our physicians. I would promote safety interventions and quality interventions like enhanced recovery programs to be an investment not a cost. By reducing length of stay, reducing variation, decreasing complications we reduced the cost of care and we increased throughput by making those beds available for other patients and therefore new income opportunities for healthcare facilities. So I would look at these programs as an investment in improved productivity rather than a cost.