Although the progress of health reform has slowed, our health systems
are undergoing major transitions. Public health, as a partner in facil
itating those transitions, has an opportunity to place on the politica
l and social agenda the importance of improving population health stat
us. The public health system in the state of Washington, through a par
tnership process, has developed a plan that articulates a vision and s
trategy for healthier people through a population-based approach. This
plan, the Public Health Improvement Plan, defines specific standards
and outcomes for improved health and performance measures for assuring
accountability.