Organizational improvement efforts in various industries go by many names (performance improvement, total quality management, etc.). But whatever the label, it is clear that a culture of quality has begun to permeate the community of addiction treatment facilities, much as it has in other fields. The "process improvement" initiatives of the Network for the Improvement of Addiction Treatment (NIATx) have played a major role in this in recent years. And that group's joint conference this June with State Associations of Addiction Services (SAAS) will undoubtedly add momentum to treatment agencies' efforts to identify the common-sense changes to internal processes that can improve client access to and retention in treatment. I'm interested in whether your organization has formally defined a quality improvement function, and what variables your efforts have been focusing on. We will continue to cover this topic in the magazine, and your experiences can help shape our reports.