This paper describes the consumer survey review process (CSRP), a vehi
cle for continuous improvement of patient care quality at The Mount Si
nai Hospital in New York City. Following a historical sketch of the ev
ents which led to its establishment at Mount Sinai, we then describe t
he instrument used to elicit patients' rating of service delivery, the
Consumer Survey, and show how it meets the changing requirements of t
hose who use it. Next, we explain the role and functioning of the mana
gement group that most directly translates the patient satisfaction da
ta into action, the Consumer Survey Review Group. Finally, we discuss
implications of Mount Sinai's consumer survey review process for manag
ing quality in health care.