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The Nevada Division of Public and Behavioral Health is using the Public Health Infrastructure Grant (PHIG) to achieve public health accreditation and build a culture of quality improvement across the agency. Mitch DeValliere, Agency Manager, explains his agency used PHIG to initiate the accreditation process, which helped them properly document ongoing quality improvement (QI) efforts and create QI templates, such as Plan-Do-Study-Act (PDSA) cycles, for all programs to use. These tools help teams continuously track outcomes and improve processes accordingly. Nevada also used PHIG to train 14 staff members, from administrative assistants to section managers, in Lean Six Sigma. These QI practices have led to major efficiency gains: contracts that once took up to a year to process are now completed in 5–6 months, while other processes were reduced by 3–4 weeks. Faster contracting means that funding reaches local health authorities, tribal communities, and cities sooner, letting them address community needs more quickly. For example, local and Tribal health authorities have used this flexible funding to take action: one county purchased a four-wheel-drive vehicle to reach remote residents, another improved water quality, and others hired staff to tackle pressing, community-specific needs. By streamlining their operations and disbursing flexible funding efficiently, Nevada is delivering services and resources faster and more effectively across the state.