The pressure to reduce costs in health care today is intense. Outsourcing staff such as housekeeping might seem like a sensible cost-saving measure in the short term, but taking the longer, and larger, view of reducing costs by improving health and quality is surely the better path. In a new blog post, IHI Vice President Kathy Luther tells the story of Wake Forest Baptist Medical Center in Winston-Salem, NC, whose leaders were reviewing their own housekeeping operations with an eye to reducing costs. The leaders realized that several of their housekeeping staff came from the same communities as many of the medical center’s most complex patients. So they decided to convert four of the housekeeping positions into new “Supporters of Health.” These Supporters of Health are now checking in on the most vulnerable patients and “having frank conversations with patients about their living situation and specific post-discharge and health care needs.” By doing so, they are helping to keep routine health care needs from becoming acute (and vastly more expensive) health care crises.