Public Health Foundation (PHF) Senior Quality Advisor John W. (Jack) Moran and Grace Duffy, completed three quality improvement (QI) workshops at the Iowa Department of Health in Des Moines. These QI tools, such as Affinity Diagrams, Flowcharts, and Fishbone Diagrams helped to boost efficiencies and strengthen effectiveness in the health department, but also unleashed creativity. Betty Mallen, Region 2 QI Champion from Hancock County Public Health Services (IA), wrote a catchy song that summarizes her experiences with Jack, Grace, and QI.