Ongoing monitoring and evaluation compose the process of continuously accumulating and analyzing data and information on the behaviors, professional growth, and clinical results of medical staff members. The department / service leader is responsible for the integration of the data and information on medical staff and taking appropriate actions. Immediate actions may be to counsel the staff member, place him or her under supervision, limit privileges, or other measures intended to limit risks to patients and improve quality of care and patient safety. Longer-term actions include synthesizing the data and information into a recommendation for continued medical staff membership and clinical privileges. This process occurs at least every three years. Other actions may be to note to other medical staff members the benchmark behaviors and clinical results evident in the data and information of the medical staff member.