Today quality care is not driven solely by the professional integrity of health care providers. Quality is demanded and defined by health care consumers. To survive within the competitive health care market, quality is a priority initiative for most health care organizations. The Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) requires interdisciplinary performance improvement activities to ensure continuous quality improvement. Johns Hopkins Bayview Medical Center has a Quality Management Structure that ensures performance improvement initiatives are interdisciplinary and directed toward the organizational mission and vision. The Clinical Value Compass and FOCUS-PDCA provide clear direction for performance improvement initiatives and foster agreement on the clinical outcomes, functional needs, satisfaction, and cost.