Overuse of telemetry monitoring is a target of the ABIM Foundation’s “Choosing Wisely” campaign, which recommends that hospitals develop a protocol to limit telemetry use. It is associated with ER overcrowding, over-testing and over-treatment of clinically irrelevant events, limited patient mobility and sleep due to frequent adjustment of equipment, and the cost of nurse and physician time responding to false alarms. A staggering statistic from the UCSF Medicine Service is that 44% of our patients are on telemetry until the moment they are discharged. We propose a four-part campaign to reduce unnecessary telemetry use at UCSF Parnassus - an educational campaign for housestaff, a messaging campaign with pocket cards and posters, a monthly feedback campaign to ward teams about their telemetry use, and a change to Apex to link the monitoring indication to an expiration time for the order.