Although the processes of reviewing programs take place within the institution the processes have thus far been informal and would benefit from structured formats that result in summaries and indicate what actions were taken. This would help both as a way to communicate how data is analyzed and used in decision making, which we found the staff does not have clarity on, and it would serve as evidence of the processes that take place. In brief, we do review programs but need to do a better job documenting the reviews and communicating the results of the reviews.