With health departments scrutinized now more than ever, now is the time to fully integrate evidence-based decision making (EBDM) into public health practices. EBDM applies the best available research and evaluation evidence to select, adapt, implement, and evaluate policies and programs that work. While training helps individuals build skills, our earlier work found skill attainment is necessary but not enough to move EBDM forward and sustain EBDM use. Organizational supports within health departments are important as well.