"The Continuum of Quality Improvement in Public Health,” co-authored by PHF quality improvement consultants John W. Moran, Grace Duffy, and William Riley, was published in the Quality Management Forum, a Peer-Reviewed Publication of the Quality Management Division of the American Society for Quality, in Winter 2010. The article addresses the benefits of an overall approach to building an improvement culture. It is necessary not only to change the details in smaller processes practiced by individuals but also to change systemic processes that hamper flow of efficient work practices. It takes time and talent to accomplish the continuum, but the rewards are more than worthwhile.