The Center for Medicare and Medicaid Services (CMS) has proposed Alternate Payment Models (APM) for improving efficiency and decreasing redundancy of health care. “Bundled payments” or episode-based care is one example. Here we report successful implementation of a Quality Improvement (QI) project in which changing the clinical workflow for postoperative radiation treatment to the hip to prevent heterotopic ossification improved the efficiency of patient care and decreased cost by eliminating redundant imaging through multidisciplinary participation. Heterotopic ossification (HO) can occur in the post-operative setting after surgical repair of fractured pelvic bones and can be prevented by single-dose radiation treatment postoperatively. Modern radiation planning with CT simulation utilized at our institution was done immediately prior to radiation treatment. Diagnostic post-operative imaging is routinely obtained and efforts to combine these two imaging series into a single scan were attempted. An informal imaging protocol was created in February 2013, instructing radiology technicians to obtain postoperative diagnostic CT images using radiation simulation techniques during CT. The adoption of imaging protocol was formally finalized one year later in February 2014. Quantification of improvement in the reduction of duplicate imaging was accomplished by generating a comprehensive patient list with MOSAIQ radiation oncology tracking software with IRB approval. Imaging data were obtained from EHR. Patients were grouped: patients treated 12 months before implementation of informal imaging agreement (“Baseline” patients), patients treated after implementation of informal agreement but before the implementation of formal imaging protocol (“Test phase”), and patients treated after implementation of formal imaging protocol (“Final phase”). Between 2012 and 2016, 200 patients were treated with radiation to prevent HO after pelvic fracture surgical repair. Prior to the informal agreement, 70.6% of baseline patients had two postoperative CT scans. During the test phase, duplicate scans decreased to 46.7%. During the first year of the final phase, 5 patients (7.6%) required duplicate imaging. In the second year after implantation of the final phase, one patient (2.4%) had duplicate CT scan for radiation planning. Single institution implementation of a formal imaging protocol successfully decreased the rate of redundant CT scans for postoperative pelvic fracture patients. Obvious benefits include less patient discomfort, inconvenience, and radiation exposure. This protocol is a model for interdisciplinary collaboration in the implementation of future ‘Bundled payment' programs.