Risk, safety and quality have related interests and goals. These three departments have often existed in silos with little or no interaction. Many hospitals have restructured these areas to allow for more interaction and integration. While one cannot clearly identify an ideal organizational model, one might consider a model that allows for a common reporting structure, integration and comingling of resources and physician oversight of all three areas. Children's Memorial Hospital in Chicago has used this model resulting in more efficient use of resources, improved physician buy-in and better strategic and tactical planning regarding implementation.