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As the country's linguistic makeup continues to evolve, hospitals are struggling to evolve with it. Many facilities are moving to offer formal language access services, hiring in-house interpreters, and partnering with over-the-phone and video interpretation services. The goal, of course, is to ensure diagnostic accuracy, improve overall quality of care across the patient population, improve patient satisfaction, and ultimately to increase the hospital's effectiveness on a human, financial, and regulatory scale. Although structured interpretation programs are a first step toward better communication, good implementation is key to their success.