In January 2010, public health professionals from the Northern Kentucky Independent District Health Department and PHF produced a white paper entitled “Using QI Tools to Make a Difference in H1N1 Flu Immunization Clinics: A Local Health Department's Experience,” citing a clear example of quality improvement practices being utilized. As a result of its flu immunization clinic success, the Health Department has become an example of quality in its efficiency and effectiveness in serving public health needs, specifically in preventing the spread of H1N1. The Health Department, engaged in the quality improvement Exemplar program with PHF, shows continued momentum in its success as a positive introduction to quality improvement practices in public health.