Written by PHF’s Senior Quality Advisor, John W. Moran, and quality improvement experts Grace Duffy and William Riley, this article in ASQ’s May 2009 Healthcare Update describes how to improve the management of public health processes through setting performance targets, measuring key quality characteristics, and monitoring processes. The target, act, process and performance (TAPP) and plan, do, check, act (PDCA) cycle integration model can assist with detecting shifts or sudden changes that may cause a deviation from the process performance target that has been set. It also can assist with closing the gap in performance that one may encounter between the observed process performance and the actual performance.