The area of northeastern Ohio centered on Akron stands out in The Commonwealth Fund's Scorecard on Local Health System Performance for having improved on more measures than any other U.S. region. In the latest case study in a series on communities that have improved despite challenges, authors Martha Hostetter, Sarah Klein, and Douglas McCarthy describe efforts by local government agencies to mobilize health care providers, health plans, nonprofits, and others in efforts to improve health care and inject health considerations into decisions on education, transportation, and other key issues.