Reprocessed medical devices can deliver meaningful cost savings and sustainability gains—but only when supply chain, clinical teams and operations are aligned. In this panel, leaders from high-performing health systems share how clinical integration and automation helped expand access to reprocessed devices, reduce risk and remove barriers to product availability. Hear practical governance approaches, including multidisciplinary structures, charters and role clarity that hardwire adoption into everyday workflows. Speakers will also share measurable outcomes, including waste diversion and savings, with lessons from award-winning programs such as Providence (GHXellence Sustainability Award, 2025).