QI IN PUBLIC HEALTH TODAYTaking Improvement Action Based on Performance Results: Washington State's ExperienceMason, Marlene BSN, MBA; Schmidt, Rita BS, MPH; Gizzi, Cindan MPH; Ramsey, SusanAuthor Information Marlene Mason, BSN, MBA, is Managing Consultant, MCPP Healthcare Consulting, Seattle, Washington. Rita Schmidt, BS, MPH, is Senior Planner, Office of Public Health Systems Planning and Development, Washington State Department of Health, Tumwater. Cindan Gizzi, MPH, is Community Assessment Manager, Tacoma-Pierce County Health Department, Tacoma, Washington. Susan Ramsey is Director, Office of Performance and Accountability, Washington State Department of Health, Tumwater. Corresponding Author: Marlene Mason, BSN, MBA, MCPP Healthcare Consulting, 414 Olive Way, Ste 207, Seattle, WA 98101 (firstname.lastname@example.org). Robert Wood Johnson Foundation provided funding for many of the activities discussed in this article. Journal of Public Health Management and Practice: January-February 2010 - Volume 16 - Issue 1 - p 24-31 doi: 10.1097/PHH.0b013e3181bee67d Buy Metrics AbstractIn Brief Washington state used the Multistate Learning Collaborative grants to address improvement opportunities identified through the results of the Standards Performance Review cycles and county-specific local public health indicators. State and local health departments initiated statewide collaboratives to address the high priorities for system and individual health department improvements. Two individual agency quality improvement efforts are highlighted, one in a large local health department and the other in the State Department of Health, with emphasis on the results in establishing an agency quality improvement infrastructure and Rapid Cycle Improvement teams. This study illustrates Washington's experience in using the Multistate Learning Collaborative grants to address improvement opportunities identified through the results of the Standards Performance Review cycles and county-specific local public health indicators. © 2010 Lippincott Williams & Wilkins, Inc.