Emphasizing the importance of establishing routine objective, external reviews of cardiac cath lab (CCL) processes, Ralph G. Brindis, MD, MPH, MACC, FSCAI, Clinical Professor of Medicine, Department of Medicine & the Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, Senior Medical Officer, External Affairs, ACC National Cardiovascular Data Registry, Past President, American College of Cardiology, challenged participants during the 2013 Society for Cardiovascular Angiography and Interventions (SCAI) Scientific Sessions in Orlando, FL by asking: "How do you know that your CCL practices are okay?"