Hospital leadership also implements a structure and process for the overall monitoring and coordination of the
program throughout the hospital. These actions ensure coordination among all the department and services in
measurement and improvement efforts. Coordination can be achieved through a quality management
council/committee, or some other structure. Coordination encourages a systemwide approach to quality
monitoring and improvement activities while reducing duplication of effort; for example, two departments
independently measuring similar processes or outcomes. (Also see QPS.2 and PCI.10, ME 1)