1) The Royal Children's Hospital in Melbourne implemented a process to reduce the printing and filing of paper medical test reports in order to eliminate waste. They conducted a survey that found 82% of medical staff supported moving to reduced paper reporting. 2) The hospital piloted the changes in three steps - first by stopping the filing of paper reports, then stopping printing reports for selected wards, and finally stopping printing for all inpatient units. This led to a 30,000 sheet per month reduction in filing. 3) The changes significantly reduced medical record costs by eliminating the need to courier, sort, file and store paper reports. It also freed up over 30% more space by reducing the size of medical records