A health services organization was overwhelmed with the advances in technology in their industry. They had spent over six million dollars during the last two years on new medical equipment. Their costs were higher, but there was no evidence of improvement in the quality of their services. They decided to focus the decisions to purchase new types of equipment on the outcome of their services: diagnosis and treatment of patients. They began to buy new equipment only if they could conduct tests that would show how the equipment would improve their medical diagnoses or improve the treatment of the patient. They found that their purchase of new equipment declined during the next year, but the equipment purchased was being used by all of the staff.