The Wisconsin State Health Plan for 2020 established a goal for everyone to live longer and better. Progress toward this goal can be measured by monitoring trends in health outcomes and health factors overall, and for specific populations in the state. This report monitors trends in health over time while two other reports measure health in other ways: "Opportunities to Make Wisconsin the Healthiest State" compares Wisconsin's health factors to those of the U.S. and the "Health of Wisconsin Report Card" examines disparities in health outcomes across specific populations. What we did for this report Ten-year trends for 20 leading health indicators were measured and compared to a standard developed for Healthy People 2020 goals of an improvement of at least 1%/year. To assess recent trends, the most current rates for these indicators were compared to the rate that was expected if the baseline trends had continued. What we found Death rates are declining significantly (>1%/year) for children and young adults (ages 1-24) and for older adults (ages 45-74). However, despite significant declines in the most recent year, the 10-year trends in death rates for infants ( Over the past decade, rates of smoking and teen births have improved significantly, whereas rates of alcohol misuse have not changed and obesity rates have increased by over 3% each year. Social, economic, and environmental factors have also worsened over the past decade in Wisconsin, with significant increases in rates of high school dropouts, unemployment, children living in poverty, lack of health insurance, violent crimes, and air pollution.