Reducing overuse and waste in healthcare has been identified as an essential part of providing high quality care for health systems globally. 1 Unnecessary tests, treatments, and procedures can have serious implications for individual patients, healthcare systems, and the planet. Individuals can be directly harmed through, for example, diagnostic and testing cascades that can cause side effects and lead to substantial anxiety for patients, caregivers, and families. Unnecessary medication can lead to drug interactions, and overprescribing is a driver of public health crises such as antimicrobial resistance 2 and the prescription opioid abuse epidemic. 3