"Processes are invisible from a customer's standpoint--but the results of those processes are not. Processes can profoundly affect whether a customer chooses your product or service in the long run. And they may be a company's best bet to ensure that the customer's job, and not efficiency or productivity, remains the focal point for innovation in the long run. Absence of a process, as is the case with most traditional hospitals, is actually still a process. Things are getting done, however chaotically. But that's not a good sign. W. Edwards Deming, father of the quality movement, may have put it best: "If you can't describe what you are doing as a process, then you don't know what you are doing."