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The survey also acknowledged that the keys to a successful business, in this case a healthcare business, consisted of customer satisfaction, efficient communication, and employee engagement. As the engagement rate drops, hospital productivity and service high quality will collapse. By figuring out our requirement prematurely we will plan and reap the advantages of many aggregation alternatives as possible to minimize back variety of contract processes carried out. By monitoring, doing evaluation of item on CERP, and construct good communication among departmental requesters will provide extra savings to agency.