Staff Stories

MOCPHE helps Jefferson County Health Department develop a substance use dashboard to direct and inform public health service provision.

The Missouri Center for Public Health Excellence helped the Jefferson County Health Department develop a substance use dashboard for Jefferson County, Missouri. To start, Allie Bodin, MPH, CPH, Health Data Analytics and Informatics Manager at MOCPHE, created a project plan and dashboard to track project progress. She then vetted data system and dashboard vendors, mapped data sources, and developed technical plans to help guide Jefferson County Health Department staff in their work. Allie also provided consultation on data management and dashboard development throughout the project. She conducted the project evaluation. Former Special Projects Coordinator Ashwin Siddaraju, MPH and former MOCPHE intern Sarah Heiland, MPH created and analyzed results from a community survey for the Jefferson County community with guidance from Allie. In such work, MOCPHE assisted the department in developing a substance use dashboard suitable for community needs: of both the public and partners.

The dashboard contains real-time data on drug-related deaths and suspected overdoses from the Jefferson County 911 Dispatch system, the Medical Examiner’s Office, and the MO DHSS Essence System. That data can enable timely response to emerging public health issues, informing targeted prevention and harm reduction strategies by the department and community partners. The resulting data-driven public health practice can prevent and reduce the impact of substance use upon the Jefferson County community.

Allie presented findings from this work at the American Medical Informatics Association (AMIA) Clinical Informatics Conference in May 2024 in a presentation titled, ‘Decentralized Non-Interoperability and the Cost to Public Health Informatics.’ The project abstract is as follows: ‘Decentralization of local public health systems contributes to informatics problems for public health data professionals. From disjointed, siloed data to unaffordable systems, public health surveillance and reporting struggles to transform data into information on population health. By examining data modernization efforts of a local public health agency, informatics professionals can learn to leverage relationships to advance interoperability and sustainability of systems.’

To learn how to apply approaches to public health informatics within decentralized, non-interoperable systems, watch a copy of her recorded Ignite-style presentation.

Focus Areas

Technical Assistance

Staff Stories

MOCPHE Data Learning Collaborative urges U.S. Census Bureau to collect and make disability data accessible nationwide, to advance health equity for persons with disabilities

The Data Learning Collaborative of the Missouri Center for Public Health Excellence issued a public comment in December on proposed changes to data collection of disability status by U.S. Census Bureau. Led by Allie Bodin, MPH, CPH, Health Data Analytics and Informatics Manager at MOCPHE, the collaborative sought to bring attention to current challenges with data collection of disability in the U.S.

Comprised of 41 Missouri public health data professionals representing 41 member and partner organizations in the field of public health, the collaborative aims for data-driven, equity-centered public health practice in Missouri. Working with disability data sources like the American Community Survey (ACS), Behavioral Risk Factor Surveillance System (BRFSS), National Health Interview Survey (NHIS), and Washington Group Short Set (WG-SS), the group expressed concerns about data collection of disability status in the U.S. Their main arguments, as relayed in the public comment, include how:

  • Collection standards already fail to provide adequate insight into disability and its functional impact on quality of life (Markesich & Feldman, 2023).
  • Persons with disabilities have expertise in disability data, and need to be consulted in all activities that develop, implement, and analyze data.
  • The potential for underestimating prevalence, and underfunding public services, rises with creating broader categories for defining disability.

The collaborative called upon the U.S. Census. Bureau to create a National Task Force to improve and expand the federal collection of disability data. That task force must include public health data professionals amongst the content experts involved. The group should create a comprehensive, integrated plan to collect and make disability data accessible nationwide, using that data to advance health equity for persons with disabilities.

In early February, officials announced that the Census Bureau will not change how questions about disabilities are worded on the 2025 American Community Survey. Officials will meet with representatives of the disability community to refine future changes following confusion and negativity about modifications the Bureau proposed.

Focus Areas

Workforce Development

Community Partner

Data Learning Collaborative

Staff Stories

MOCPHE helps the Jefferson County Health Department better service vulnerable populations

The Missouri Center for Public Health Excellence has helped the Jefferson County Health Department to evaluate how its mobile clinics can best address health disparities and reach vulnerable populations within the program’s service area. The project was conducted as part of the Local Public Health Disparities Initiative from the Missouri Department of Health and Senior Services and supported by the Centers for Disease Control and Prevention. Allie Bodin, MPH, CPH, health data analytics and informatics manager at MOCPHE, worked with JCHD to design an operations-based decision tree that helps JCHD staffers decide which clinics to pursue and what services to provide in line with their mission.

By asking a series of questions ordered by priority, JCHD now systematizes the processes by which the program decides which clinics to offer, allowing for monitoring and evaluation of clinic success. To guide JCHD’s decision-making, Allie developed an intake questionnaire collecting demographic, social determinants of health, health behavior, and health outcome data from patients to better understand the populations JCHD services reach. Allie also created two questionnaires for potential partners: the first questionnaire screens whether partners are ready to host a clinic in terms of logistics, and the second questionnaire acquires information to help JCHD decide whether a proposed clinic aligns with JCHD priorities. These questionnaires were designed to be tailored to collect different data indicators over time depending upon the needs of the department for directing practice. Allie’s work sparked so much interest from mobile healthcare leaders within healthcare and public health in recent months that she has been able to share details with more than 275 mobile health service providers and public health professionals in Missouri as well as across the United States and Canada. She presented at the Mobile Healthcare Association’s Missouri Regional Coalition meeting in April on “Data-Driven Decision-Making to Advance Health Equity,” educating providers on how to acquire and use data to direct operations.

At the Mobile Healthcare Association’s 19th Annual Mobile Health Clinics Conference in September, Allie hosted a session entitled, “Designing Operations Decision Support to Establish Partnerships that Advance Health Equity,” which focused on translation of the decision-tree from a conceptual to practical tool for use in day-to-day operations and evaluation. Allie also presented at the Joint Missouri Public Health Conference in September, speaking about the project as a health equity initiative within the context of data modernization and security in Missouri. Allie also co-authored a chapter in the 2nd edition of the Mobile Healthcare Association’s Mobile Healthcare Program Start-Up Guide. That chapter, called “Monitoring and Evaluations: A Guide to Ongoing Program Improvement,” was written with Meghan Guptill, MPH; Kristin Mikolowsky, MSc; and Heather Nelson, PhD, MPH. It includes appendices containing the tools Allie developed: the “Operations-Based Decision Tree,” “Intake Questionnaire for Mobile Health Services,” “1st Questionnaire for Potential Partners: Logistics of Mobile Health Services,” and “2nd Questionnaire for Potential Partners: Mobile Health Service Priorities.” Interested in this project? Contact us for more information at abodin@mocphe.org.

Focus Areas

Public Health Expertise & Collaboration

Staff Stories

Mobile Healthcare Association Presentation

Allie Bodin was able to attend a regional conference of the Mobile Healthcare Association hosted in St. Louis! She shared a presentation focused on her work with Jefferson County and their work to provide data-driven, placed-based care through their mobile medical unit.

Focus Areas

Public Health Expertise & Collaboration

Workforce Development

Community Partner

Mobile Healthcare Association

Staff Stories

NACCHO DC Trip: Implementation Overdose Prevention

Allie and the team from the Jefferson County Health Department working on their opioid surveillance dashboard were able to travel to D.C. to meet with NACCHO and others doing similar work. This was an excellent opportunity to engage with peers and learn more about different local innovations for opioid overdose prevention.

Focus Areas

Public Health Expertise & Collaboration