ORIGINAL ARTICLESA Local Health Department's Journey to the Summit A Case Study of a Decade of Quality ImprovementMorrow, Cynthia B. MD, MPH; Nguyen, Quoc V. MD; Shultz, Rebecca G. MPH; Murphy, Jill M. PhD; Mignano, Michelle A. MPAAuthor Information Onondaga County Health Department (Drs Morrow and Nguyen and Mss Shultz and Mignano) and Department of Public Health and Preventive Medicine, Upstate Medical University (Drs Morrow and Murphy), Syracuse, New York. Correspondence: Cynthia B. Morrow, MD, MPH, Onondaga County Health Department, 421 Montgomery St, Syracuse, NY 13202 ([email protected]). Disclosure: The authors report no conflicts of interest. Journal of Public Health Management and Practice: January/February 2012 - Volume 18 - Issue 1 - p 63-69 doi: 10.1097/PHH.0b013e31822f6296 Buy Metrics AbstractIn Brief As the interest in quality improvement (QI) efforts in public health agencies gathers momentum, organizations looking to initiate or strengthen QI processes may benefit from learning about existing programs. This article serves as a case study for other agencies to consider as they embark upon their QI journey. Specifically, this article reviews more than a decade of QI efforts in a mid-sized local health department and highlights areas of success (including an annual QI summit), barriers to implementation of QI, and areas needing improvement. This article describes a case study for other agencies to consider as they embark upon their quality improvement journey. © 2012 Lippincott Williams & Wilkins, Inc.