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As an example, the Oregon Health Authority (OHA) describes quality improvement in public health as ”…the use of a deliberate and defined process, such as Plan-Do-Check-Act, which is focused on activities that are responsive to community needs and improving population health…” (n.d., para. 2). Oregon’s public health division established a strategic plan that describes its health promotion efforts to address death, disease and injury, implementation of initiatives, and outcomes measurements, the Healthier Together Oregon 2020-2024 State Health Improvement Plan. The QI plan included a state-wide public health assessment; developing initiatives and plans for implementation; and monitoring and determining effectiveness (OHA, 2020).