Since state and local public health programs are often funded at least in part by federal dollars, accountability is often a key issue (“Ten Essential Public Health Services”). 2015). Public health programs therefore document progress toward positive change in indicators of health behavior or health status (“Ten Essential Public Health Services.” 2015). Such data can be presented to policymakers to document the value or effectiveness of a program (“Ten Essential Public Health Services.” 2015). This data can also be used for ongoing program planning and modification (“Ten Essential Public Health Services.” 2015). Policies have positive or negative influences on health. Examples of health policies include safety standards, which influence the incidence of injuries; tobacco regulations affect personal health; and safe urban parks can affect people's ability to be active (California Department of Public Health Strategic Plan, 2013). It is a systematic process to use appropriate data, develop and track measurable health goals, establish strategies and actions to guide targeted improvements (California Department of Public Health Strategic Plan , 2013). Targeted strategies may be laws, codes, regulations and/or