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In the past 10 years, a number of national reports have quantified the extent to which local public health departments fail to respond quickly to potentially urgent public health problems called in from health-care professionals through telephone-based disease surveillance systems. This article describes how one local health department used published business process analysis and redesign methods to improve its local response time. It then adapted a RAND test-call protocol to evaluate the impact of its redesign on a small sample of subsequent provider calls. The development of performance measures is a critical step toward improving preparedness, but these measures are only useful when routinely evaluated. Although this evaluation was small, Kovach et al. are to be commended for prioritizing the full quality improvement cycle.