Ms. Dayna S. Alexander, a community health behavior and education DrPH candidate at Georgia Southern University Jiann-Ping Hsu College of Public Health, provided technical assistance and evaluated a quality improvement (QI) project at a Georgia county health department. The resulting article focuses on the application and evaluation of a QI project in a Georgia county health department. The Georgia Public Health Practice-Based research Network GAPH-PBRN team applied a mixed methods approach for evaluation. Qualitative methods included a total of thirteen interviews and direct observations of eleven QI team meetings and clinic processes. The QI team sought to reduce the waiting time in the teen clinic, thereby, improving the QI culture one project at a time.