Building on the work of the Institute of Medicine and the National Association of County Health Officials, the Michigan Departments of Agriculture, Community Health and Environmental Quality and other state agencies developed and are committed to implementing the Michigan Local Public Health Accreditation Program. The process builds on many of the principles outlined in The Future of Public Health and The National Association of County Health Officials' 1991 Assessment Protocol for Excellence in Public Health (APEXPH), and aims to institute a baseline standard for the attributes and services that define a local health department. To access the Michigan Public Health Institute’s web site for current information go to: http://www.accreditation.localhealth.net