The current program provided ostomy supplies to clients was time consuming and resulted in an incomplete order on a routine basis. The National Naval Medical Center identified this as an opportunity for process improvement, cost savings, and an improvement in the quality of care. The key business drivers were service excellence, command budget, staff efficiency, and client satisfaction. In a Nursing Efficiency Study of 50 nurses, 45 reported ostomy care, lack of proper supplies, knowledge of ostomy types, and general care of an ostomy, as being the most time consuming nursing task regarding care of an ostomy patient. Our goal was to provide standard orders, increase education to staff, provide customer excellence, outsource 100% of all clients, and to decrease hospital costs by 50%. Analysis/Benchmarking:The former system included providing ostomy supplies from our Central Distribution Department (CPD). The client would call in their order on a as needed or a monthly basis. Over a 6 month period all clients were personally interviewed or contacted via the telephone by the WOCN. A cause and effect analysis was completed. An outsourcing protocol was introduced. The WOCN obtained a complete order, placed the 3 month revolving order with a DME vendor, had the order drop shipped to the client's home.Orders remained current for the entire time that the client was to have an ostomy. Outcomes:The average savings was over $500,000.00 for current client's receiving ostomy supplies from CPD. Customer satisfaction/excellence increased by 99%. Conclusion:Changing the protocol for client's resulted in upwards of 90% decrease in overall costs. Customer excellence increased by 98%. Completeness and timely delivery of full ostomy orders increased by 99%. Staff education and satisfaction increased by more than 85%.Deliverables: Ostomy Care: Algorithms,Cheat Sheet, In-Servicing, Vendor Demonstration, Regularly Scheduled Wound/Ostomy Course