Mindfulness is a concept that refers to the attentiveness and alertness of people to detail. When applied properly, mindfulness improves the reliability of organizational processes, an important dimension to process quality. However, no study measures the cost of implementing mindfulness, which is necessary for managers when allocating scarce resources among competing improvement initiatives. Using the popular P-A-F framework, this study measures the cost of mindfulness in a healthcare context, and suggests consideration of several activities when implementing it in real-world firms.