Process Excellence in the Emergency Department is a team collaboration that aims to improve the quality of care for patients. Team collaboration in healthcare is recognized as a group of healthcare workers from different disciplines working together toward a common goal. This particular “multidisciplinary” team meeting (Finkelman, 2012, p. 336) was a collaboration of team members that included: the emergency room (ED) director, emergency department physicians, and department nurses. Emergency Department, Chief Emergency Health Unit Coordinator, Emergency Business Manager, Senior Process Excellence Coordinator, Director of Information Management and Senior Marketing Specialist. The vocation of this team aims to organize a team care approach for patients treated in the emergency room and focuses on the care approach that ensures continuity of patient care. This patient focus aims not only to provide a higher level of patient satisfaction, but also to improve job satisfaction by developing an emergency department staff approach to providing team-based care. This Process Excellence Team has been meeting for over two years with the hope that this goal will be achieved. This article aims to help the reader better understand this specific team collaboration, the roles of its members, and the communication methods used. The initial understanding of a process excellence team is an important foundation for understanding this specific team collaboration. Process excellence as described by Carter (2010) is a “Six Sigma process…used to eliminate defects and inefficiencies in a process or service.” In the healthcare field, our job is patient satisfaction. "Six Sigma" (Carter, 2010) is a team process that uses an approach to effectively control...... middle of paper ......ca: McGraw-Hill.Pham, JC, Seth, TN , Hilton, J., Khare, RK, Smith, JP, & Bernstein, SL (2011). Interventions to improve patient-centered care in times of emergency department overcrowding. Academic Emergency Medicine, 18(12), 1289-1294. doi:10.1111/j.1553-2712.2011.01224.x. Reeves, S., Macmillan, K., & VanSoeren, M. (2010). Leadership of interprofessional health and social protection teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-264. doi:10.1111/j.1365-2834.2010.01077.x.Stevens, KR (nd). The National Institute of Nursing has expanded the blue highway of translation research.Upenieks, V., Lee, F., Flanagan, M., & Doebbeling, B. (2010). Healthcare Team Vitality Instrument (HTVI): development of a tool assessing the functioning of healthcare teams. Journal of Advanced Nursing, 66(1), 168-176. doi:10.1111/j.1365-2468.2009.05137.x.