Process excellence in the emergency room is a team collaboration whose focus of interest is improving the quality of patient care. Team collaboration in healthcare is recognized as a group of healthcare professionals from different disciplines working together on a common goal. This particular “multidisciplinary” team meeting (Finkelman, 2012, p. 336) was a collaboration of team members that included: the emergency department (ER) director, the emergency room doctors and nurses, the emergency department lead healthcare unit, the business manager, senior process excellence coordinator, director of information management and senior marketing specialist. The purpose of this team aims to organize a team approach to the care of patients treated in the emergency department and focuses on the therapeutic approach that provides continuity of care to patients. This patient focus is intended to provide not only a higher level of patient satisfaction, but also improve professional satisfaction by developing an approach by emergency department staff to providing care as a team collaboration. This process excellence team has been meeting for over two years in the hope that this goal will be achieved. This document is intended to help the reader better understand this specific team collaboration, the roles of its members, and the communication methods used. A team's initial understanding of process excellence is an important basis 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 healthcare, our business is patient satisfaction. “Six Sigma” (Carter, 2010) is a team process that uses an approach to effectively control…… half of the paper……ca: McGraw-Hill.Pham, JC, Seth, TN, Hilton, J., Khare, R.K. , Smith, J. P., & Bernstein, S. L. (2011). Interventions to improve patient-centered care during periods of emergency department crowding. 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 care teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-264. doi: 10.1111/j.1365-2834.2010.01077.x.Stevens, K. R. (n.d.). The National Institute of Nursing has expanded the Blue Highway of translation research. Upenieks, V., Lee, F., Flanagan, M., & Doebbeling, B. (2010). Health Team Vitality Tool (HTVI): Development of a tool to assess health team functioning. Journal of Advanced Nursing, 66(1), 168-176. doi:10.1111/j.1365-2468.2009.05137.x.