When approaching a quality improvement program, it is essential to take into account all departments and processes. It is also important to establish a timeline with room for unexpected obstacles. It is important to gather a team that can be a voice to different departments as well as individuals with quality improvement experience. It is necessary for facilities to have an active quality improvement team at all times to ensure continued quality. When this is not being monitored it can be easy to loose track of quality. It may take consumer complaints to notice