Show HN: My (Attempt) at a Public Health Infrastructure

1 point

3 years ago

At the beginning of the pandemic there was lots of talk about public health infrastructure etc... and I read this article [1]. This is my idea/vision of how a public health infrastrcture could look/work. I decided to focus on the intersection of health and education first because (see below)

1: Its an intresting problem that impacts peoples lives in a big way

2: I have worked for lots of edtech companies

3: I am really into health and wellness

4: I was raised by my dad because my mother was in and out of facilities due to mental illess

5: Racial Profiling [2] is not my biggest issue, menthal helth is

First thing I needed to do was understand the problem, current state of things and where I could improve / what metrics etc.. The main problems I see are that... 1: Mental Health is to "reactionary". Something happens, peole focus on it for a week or so then move on. 2: Mental Health servcies dont scale very well under the curent model 3: Not everyone has the same idea of what it means to be mentally healthy or how to get there 4: Gen-Z should IMO be more involoved in the process of what/how 5: Its too disconnected, IMO if a program works in one place other places should be able to adopt that programs best practices

The concept I settled on was to create a tool that lets school districts (and later state public health depts.) create a baseline mental health and wellness protocol expressed as an automated digital workflow. Basicly population health management based on custom workflows. I knew the system would need to be multi tenant, each "tenant" e.g.: LAUSD, SFUSD etc... has its own database. So I need a "Publishing" type of mechanism for program management so tenants can share programs etc... I am now at the point where I have been able to do the following

1: Create a program [3]

2: Publish it

3: Get program request on tenant admin

4: Approve from dashboard

5: Visit tenant page and follow program to completion (paid and free)

6: Import population

7: Manage population as they complete program

My next step is to complete the FHIR integration and integrate OpenAI so each program manager (aka: creator) has an ai assistant to help them manage/create programs and add more Modules.

Note: Phase 1 was schools and Phase 2 is state health depts. My dad worked for metro (nashville) social services for 30+ years, just retired; so i talked to him about processes etc... and I am going to codify their programs too as well as provide multi-district population view for workers but its probably going to be end of Jan maybe Feb before I can roll out that beta.

Note: Currently all tenants e.g.: lausd.health, aacps.health, cps.health etc...redirect to the wellness page of the ditricts existing website. I am sending each district their login e.g: admin.sfusd.health where they can approve program request and all that kind of stuff if they want. In the meantime I am creating programs based on their current wellness policies.

Note: My fist choice is to give the tool to the ditrict but if they dont want it I have been able to identify at least one other group in each area that is intrested.

Note: If you login and want to use the "Protocol Builder" you can upload any image where it says ID and Ill approve it.

Note: I am currently working on documentation and help text etc...

[1] - https://a16z.com/2020/04/18/its-time-to-build/

[2] - https://nextcity.org/urbanist-news/crowdsource-police-review...

[3] - An example program would be something like:

A: send a check-in assessment 2x per month

B: based on result of assessment schedule follow up with care team member

C: send nudges 3x per week w/ optional feedback

D: ...

Ive been up for a few days and need to get some rest but will answer any questions anyone has. TY for taking the time to checkout my project.