The Resource Management Initiative in the English National Health Service.

The Resource Management Initiative (RMI) is a policy thrust designed to more effectively utilize current expenditures in the United Kingdom's National Health Service by (1) integrating clinicians into management through a "clinical directorate," (2) establishing a closer external audit of the medical profession, and (3) implementing information systems. This article reviews the results from the first RMI sites and suggests a fit between the RMI effort and current programs in total quality management and continuous quality improvement.