A process and considerations for activating a quality/productivity monitoring system

In response to demands for cost containment in operational areas without subsequent declines in quality, many hospitals are implementing quality and productivity monitoring systems. This article describes the process used by St. Elizabeth Hospital Medical Center (SEHMC), Youngstown, Ohio, to determine that it would use an outside consultant, select a consultant, negotiate the contract and implement the program. The article offers practical advice for other hospitals considering using outside services for developing quality/productivity monitoring systems as well as other projects.