In the late 1980s, the Florida Department of Health reorganized its quality assurance review system for county health departments. In 2004, a Quality Improvement Advisory Council, consisting of county health departments, Central Office Program staff, and public health experts, spent a collective 1,400 hours creating a self-assessment tool or Performance Report Card.
The Performance Report Card has been piloted and revised, and continues to provide evidence to support quality improvement programs in the state.
Florida also participates in the Multi-State Learning Collaborative (MLC) project, which assesses quality improvement strategies to enhance the work of public health departments.