Evaluation is one of the essential skills needed for innovation (45). In design thinking, outcome evaluation, or whether a program or prototype elicited a significant change in outcomes, is the most important method of determining whether a prototype or program was successful. While process and impact evaluations in public health can be useful in determining program success, focusing too much time on this type of assessment may detract resources from evaluations that most clearly demonstrate success. The end goal is to begin to make public health entities more accountable to the programs they produce. While public health is already concerned with program evaluation, the PHIM promotes dispersing the final funding allocation after outcomes have been assessed and programs have proven to be successful. These key structural changes to the funding structure emphasize the importance of achieving measurable outcomes and perpetuating programs that are successful, while eliminating programs that fail to make significant changes.