Monitoring the control and capability of process parameters is a continual and mammoth task for today’s manufacturers. The importance of simple, efficient, and automated approaches cannot be overstated. Paramount in this endeavor is the determination of extreme quantiles. I will review approaches for determining these quantile from the last 25 years of literature, as well as current usage at Eli Lilly and Company. A number of candidate approaches will be carried forward into a simulation to look at their performance against a variety of distributions.