Fig. 1

Methodological Process for Selecting Candidate Technologies for HTR. Guided by the process attributes recommended by the expert advisory committee, a 5-step methodological process was developed. First, published low value technologies from the NICE “do not do” recommendations, low value technologies in the Australian MBS, and Choosing Wisely Canada lists were compiled. Secondly, the low value recommendations were reviewed and coded using the appropriate coding systems for the administrative health data. In the third and fourth steps, low value technologies were queried in the administrative data to examine frequencies and costs of technology use, and this information was subsequently used to rank potential candidates for HTR based on high annual budgetary impact. Lastly, clinical experts reviewed the ranked technologies prior to broad dissemination and stakeholder action