IntroductionHealthcare is under scrutiny for cost reductions or containment. As dollars available for healthcare are decreasing as the population ages and costs continue to rise, healthcare institutions need to become more accountable in how dollars are spent. Canadian healthcare represents 11.2% of gross domestic product in 2013 (Information, 2013). There is pressure to maintain current service levels with a reduction in budget year after year. Healthcare institutions (administration and sometimes doctors) spend a significant amount of time and energy each year cutting dollars from existing budgets to ensure a balanced budget. Savings come in the form of wages (jobs), supply savings, and the amount of services available to those who need them. In the surgical environment there is a need to ensure more thoughtful and significant savings by involving doctors and nursing staff to help contain costs. At the heart of the matter is the need to determine how to share cost information and involve healthcare providers in reducing or containing costs. Literature Review Opportunities for cost containment or reduction are identified in various articles; going green (Taheri MD, Butz PhD, Griffes MHA, Morlock MBA, & Greenfield MD, 2000) (Wormer MD, et al., 2013), equipment standardization (Brita-Rossi MS, et al., 1996), lean process ( Collar MD, et al., 2012) (Aronsson & Abrahamsson, 2011), standardization of preference cards (Rappold, Van Roo, Di Martinelly, & Riane, 2011), and inventory delivery (Brinkman, Seipel, & Juers, 2001). Previous articles identify strategies that organizations can implement to contain one-time costs, however they do not address the issue of knowledge sharing. Search li...... middle of document ......n Impact on total cost of care. Annals of Surgery, 231(3), 432-435. Retrieved April 11, 2014, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421015/Varkey, P., Murad, M.H., Braun, C., Grall, K.J., & Saoji, V. (2010, July 3). A review of cost-effectiveness, cost containment, and economics programs in undergraduate medical education. Journal of Evaluation in Clinical Practice, 16(6), 1055-1062. doi:10.1111/j.1365-2753.2009.01249.xWormer MD, BA, Augenstien MD, VA, Carpenter MHA, CL, Burton BS, PV, Yokeley BS, WT, Prabhu MD, AS, . . . Heniford MD, B.T. (2013, July). The green operating room: simple changes to reduce costs and our carbon footprint. The American Surgeon, 79(7), 666-671. Retrieved April 11, 2014, from http://search.ebscohost.com/login.aspx?direct=true&AuthType=uid&db=mnh&AN=23815997&site=eds-live&authtype=uid&user=ucw&password=ebsco