Administrators, clinicians, roomers, and triage staff all provided insight into the workflow of a patient presenting to our primary care clinic. We mapped out our perception of the process a patient goes through when presenting to the clinic, and then observed the actual process through multiple patient interacinteractions. This process allowed us to find the discrepancies between what ought to be done and what was actually happening in the clinic. With the input of the same group of people, we developed a more efficient work flow. To ensure accurate blood pressures, all nursing staff were educated on the appropriate technique for obtaining blood pressures and were observed randomly over 3 months to ensure maintenance of the appropriate technique.