In 2008 one of the authors participated in an improvement project of the Florida Department of Health in Orange County. This case study was published by The American Society for Quality, Quality Press, in The Public Health Quality Improvement Handbook, “Orange County Health Department, STD Quality Improvement Case Study”. The current Centers for Disease Control and Prevention goal is to obtain one additional name from at least every other contact. The goals from the Control and Prevention have been reduced over the years to reflect reduced capacity of health departments to handle the increased workload of rising STD cases. The Format section of the Better way to Excellent results and Success through the application of an appropriate-tool reinforced the strength of the original Plan-Do-Check-Act structure of the 2006 case study. Using a standardized improvement model automatically guided the process improvement team to include most of the components of a best practice.