Every three years, hospitals are required to select health initiatives that they will address during the following three year cycle in the hopes of making the community they serve a healthier place to live. Jamaica Hospital Medical Center has selected two public health issues as our major area of focus. These two initiatives are: Both have been identified by The New York State Prevention Agenda as well as New York City’s “Take Care New York 2016” as initiatives that need to be addressed. Although Jamaica Hospital could have selected other initiatives, based upon community health statistics and consumer needs/utilization surveys, its resources are best suited to focus on efforts to increase tobacco cessation success rates within the community and increase rates of exclusive breastfeeding among mothers in the service are. Jamaica Hospital is already a partner on New York City’s Tobacco-Free Hospital campaign, having earned a Gold Star for its accomplishments, as well as being designated as a “Baby Friendly Hospital” by the World Health Organization.