The purpose is to introduce the demand for the quality movement practice in problems associated with public health, diagnostic testing and other health related problems. We examine problems involving (1) Multivariate control charts which simultaneously monitor correlated variables; (2) we explain why the scale on multivariate control charts is unrelated to the scale of the individual. Variables control charts: and (3) discover that out of control signals in multivariate charts do not reveal which variable or combination of variables causes the signal and application of quality monitoring. New methods provide methods for MPC charts focus on the average run length as the decision factor. We indicate that other decision criteria in multivariate control charts are availableand these methods can be useful in evaluating the design and implementation of multivariate charts in special circumstances.