An article by Public Health Foundation quality improvement (QI) experts Sonja Armbruster, Jack Moran and Les Beitsch was recently published in the September/October issue of Journal of Public Health Management & Practice. The article entitled Change Resistors: People Who Block Change Initiatives and 5 Tips to Overcome Resistance, addresses the idea that any time a public health agency undertakes a change in how it conducts business, resistance is quickly encountered. Experienced leaders know that organizational change is a traumatic ordeal for any organization and its employees. Resistance is an integral part of any change process. This article describes how to identify and manage this resistance. Based on their work with numerous state and local health departments, these PHF QI experts offer specific observations about the change process, and several concrete strategies to overcome seemingly insurmountable resistance often faced within health departments.