This chapter emphasizes the critical role of continuous quality improvement in healthcare simulation programs through effective evaluation. Program evaluation at various levels—program, course, or scenario—helps identify areas of need and ensures the program aligns with stakeholders’ needs. Key constituents for feedback include learners, faculty, staff, and the organization, each offering unique insights that drive program enhancement. Learner feedback improves simulation effectiveness, empowers students, and supports evidence-based innovation. Faculty perspectives ensure the accuracy and clinical relevance of simulations, while staff feedback addresses logistical improvements for a seamless learning experience. Evaluating program facilities ensures an optimal learning environment, while organizational perception aligns the simulation program with institutional goals and supports accreditation. Additionally, tools developed by Kim Leighton and her team offer valuable psychometrically tested instruments for evaluating various facets of simulation-based education. By integrating these feedback mechanisms, healthcare simulation programs can continually improve their educational value, operational efficiency, and contribution to better healthcare outcomes.