Key public health outcomes have continued to improve in Florida since our 2003 review. The Department of Health has taken steps we recommended to strengthen Florida's public health infrastructure. The department implemented a statewide community health assessment and health improvement planning initiative and requires county health department leadership in conducting assessments. The department also strengthened its quality improvement process to more accurately assess and respond to local health department and community needs. In addition, it has modified and updated its allocation methodology for local prenatal care funding.