SummaryTo allow an ultrasound department to maximize productivity with accuracy and patient satisfaction, regular review and evaluation of many aspects of the department must be considered. Issues regarding patient scheduling and reception, examination performance, quality control of the equipment, image interpretation, film processing and retrieval, and report dictation, transcription, and distribution must be constantly analyzed with efforts toward improvement when necessary. Every member of the ultrasound team must know his or her role and help generate policies designed to optimize performance, accuracy, and patient satisfaction.