Directors of Perioperative Services and/or OR Directors participate in face-to-face meetings three times per year. This Council meets jointly with the Supply Chain Council to perform initial analysis of opportunities related to the purchase and/or utilization of clinical products used in the surgical services areas. The Council meets as a separate peer group to develop and initiate implementation strategies for clinically sensitive and/or physician preferred items (PPI). This group also provides peer support in operational issues as well as shared successes with other cost reduction processes. This council continues progress on identified initiatives via monthly teleconferences.