Quality Improvement (QI) serves as the through-line for department-level QI efforts, including sustained accreditation from the Public Health Accreditation Board (PHAB) and technical assistance resulting in programs and services with individually based or population approaches with measurable and meaningful impacts. Primary drivers for continuous improvement are embodied in the triannual Community Health Needs Assessment (CHNA), which directly informs Alameda County’s Community Health Improvement Plan (CHIP). QIA oversees departmental accreditation and processes that result in Alameda County’s Community Health Needs Assessment and Community Health Improvement Plan.