Self-managing teams differ from semiautonomous work groups in that team members manage and control all of the major tasks directly related to production of a product or service without first getting approval from management. This includes managing and controlling the acquisition of materials, making a product or providing a service, and ensuring timely delivery. Self-designing teams have all the characteristics of self-managing teams, but they can also control and change the design of the teams themselves, the tasks they do and how and when they do them, and the membership of the teams. ICU MEDICAL in San Clemente, California, is organized around self-designing teams; any worker can form any team to address any problem. The teams set meetings, assign tasks, and determine deadlines.