In this episode and as part of our PHIG Impact series, Amy Perkins of the Wisconsin Department of Health Services talks about how the state is rethinking public health infrastructure funding to make life easier for local and tribal health departments. Amy explains how Wisconsin is using the Public Health Infrastructure Grant (PHIG) to reduce administrative burden, decentralize funding management, and prioritize flexibility over red tape. Amy discusses practical strategies like housing PHIG within a partnership-focused office, streamlining grant processes, supporting accreditation by directly covering PHAB fees, and quickly moving funds through regional service and resource-sharing grants. Amy also shares what she’s hearing from the field: how flexible funding is helping health departments sustain staff, invest in professional development, strengthen foundational capabilities, and better respond to community needs.
About the PHIG National Partners - Public Health Infrastructure Grant
As part of our State Health Policy portfolio, ASTHO releases an annual legislative prospectus: a series of policy briefs summarizing state and territorial legislation that impacts public health. Today, Dr. Joseph Kanter, ASTHO’s CEO, will summarize the 2026 prospectus, identify trends in public health law for the next year, and provide a high-level overview for public health professionals and policymakers in time for upcoming legislative sessions.
Accredible Unveils Certified Impact Awards 2025 WinnersPH-HERO | ASTHO
For the first time, all eight U.S. territories and freely associated states have been included in PHWINS, or the Public Health Workforce Interests and Needs Survey. Rachel Hare Bork joins the show to discuss how this landmark pilot effort came together, why it took extensive travel and collaboration to make it happen, and what the results reveal about the public health workforce across the islands. She explores key findings, like the islands’ notably younger workforce, gaps in public health education, and the powerful new data leaders can use to advocate for resources. She also digs into why counting these communities matters for both territorial planning and the national public health conversation, and what it will take to continue this work in future PHWINS cycles.Webinar Registration - ZoomSubscribe | ASTHO
As health departments modernize their data systems, an unexpected challenge has emerged: traditional public health job classifications no longer match the reality of today’s data landscape. In this episode, Ari Whiteman, ASTHO’s Senior Advisor for Public Health Data and Informatics Workforce, talks about why the field urgently needs new informatics-focused roles, and what it will take to build them. Whiteman explains how interoperability, electronic health records, and complex data pipelines have outpaced legacy classifications like epidemiologist or public health analyst. Leveraging the Public Health Infrastructure Grant (PHIG), state, local, and territorial health agencies can build classification systems that enhance recruitment and retention of an informatics-savvy workforce. Updating job classifications can help clarify new roles, alleviate pressure on existing roles, and enable health agencies to sustain workforce infrastructure that is flexible and forward-looking. He discusses the hesitancy and bureaucracy that make change difficult, the opportunity cost of doing nothing, and why modernizing job classifications is essential for faster outbreak response, stronger surveillance, and smarter public health decision-making.Data Modernization Primer and Tactical Guides | ASTHOHow to Modernize Data Infrastructure: A Toolkit for Public Health Leaders | ASTHOASTHO Announces Sixth Developing Executive Leaders in Public Health Cohort | ASTHO
In today's PHIG Impact Report, Patricia Tilley, ASTHO member and associate commissioner of the New Hampshire Department of Health and Human Services, details the critical needs the Public Health Infrastructure Grant has helped with in her state. This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.
New research out of New York shows that naloxone didn’t just save more than 6,500 lives in two years—it delivered one of the most dramatic returns on investment in public health. In this episode, Dr. James McDonald, ASTHO member and commissioner of the New York State Department of Health, breaks down the first statewide health-economic evaluation of naloxone administration. Dr. McDonald discusses how New York’s extensive overdose prevention programs provided the data needed to measure outcomes, why the study went beyond distribution counts to assess real-world effectiveness, and how the results—more than $3,200 saved for every $1 spent—can help other states make the case for investing in harm reduction. The conversation also explores lessons for policymakers, the essential role of training bystanders, and why naloxone remains the cornerstone of a comprehensive response to the opioid crisis. A clear, data-driven look at how one tool is saving lives—and why scaling it matters now more than ever.The Key Role of Cross-Sector Partnerships in Navigating Barriers | ASTHOWebinar Registration - Zoom
In this episode, Pennsylvania Secretary of Health and ASTHO member Dr. Debra Bogen joins us to break down a major change in national vaccine guidance, and why it has sparked concern among pediatric and public health leaders. Dr. Bogen explains the recent ACIP vote that weakened the long-standing recommendation for all newborns to receive the hepatitis B vaccine within 24 hours of birth, a practice that has nearly eliminated the disease in young children since the early 1990s. She shares why this shift could create confusion for parents, what’s at stake for infant health, and how Pennsylvania is doubling down on clarity, access, and science-based information, including through a recent executive order from Pennsylvania Governor Josh Shapiro. Dr. Bogen also speaks to the broader moment facing public health, from rising misinformation to the importance of unified, evidence-driven messaging.
Cultivating a Culture of Community and Belonging in the Workplace | ASTHO
In this episode, ASTHO member and Michigan Department of Health & Human Services Chief Medical Executive Dr. Natasha Bagdasarian breaks down a major development in national vaccine policy: the CDC Advisory Committee on Immunization Practices’ decision to narrow its guidance on the hepatitis B birth dose. Dr. Bagdasarian, who serves as ASTHO’s liaison to the Advisory Committee on Immunization Practices, shares why the shift toward “individual decision-making” raises concerns for newborn safety, health equity, and public trust in vaccines. She discusses the vulnerabilities in our health system that could leave some infants unprotected, how localized transmission risks extend beyond maternal infection, and why softening long-standing guidance may unintentionally fuel doubt about other vaccines. Dr. Bagdasarian also explains why Michigan—and many other states—are choosing to follow the American Academy of Pediatrics’ recommendation to continue the universal birth dose.
Designing for Connection Webinar Series | ASTHOHome | Public Health Careers.org
As part of our spotlight series on artificial intelligence in public health, today’s episode explores the BEACON Portal—a groundbreaking collaboration between Google and the state of Illinois designed to streamline access to behavioral health services for children and families. Dr. Dana Weiner, Chief Officer for Children’s Behavioral Health Transformation in the Illinois Governor’s Office, and Julia Strehlow, Senior Advisor at the Illinois Department of Public Health discuss how BEACON centralizes information for families, enables secure cross-agency communication, and uses transparent AI-powered matching to connect young people to the services they’re eligible for—faster and more accurately than ever before. The conversation highlights Beacon’s unique development process rooted in family and provider feedback, the platform’s rigorous privacy and security protections, and how Illinois is partnering with clinicians statewide to boost adoption.
Kentucky is experiencing its largest spike in whooping cough cases since 2012, an alarming rise that has already claimed the lives of three infants in the past year. In this episode, Dr. Steven Stack, Secretary of Kentucky’s Cabinet for Health and Family Services, joins us to unpack what’s driving the surge, why waning vaccination rates matter, and how misinformation is complicating public health response efforts. Dr. Stack, ASTHO member and former ASTHO president, explains the cyclical nature of pertussis, how the pandemic disrupted typical disease patterns, and why the current spike is more severe than expected. He discusses the heartbreaking reality that none of the infants who died were vaccinated, and neither were their mothers, despite well-established evidence that maternal vaccination can provide newborns with lifesaving early protection.Creating Shared Vision and Governance for Data Modernization in Vermont | ASTHODon't Panic! A Panel on How to be an Effective Crisis Communicator | ASTHO
In this episode, ASTHO’s Director of Public Health, Data Modernization, and Informatics, Allen Rakotoniaina, breaks down how public health agencies can effectively make the case for investing in modern data systems. He explains why “business numbers,” like labor hours saved or dollars recouped, can be the tipping point for decision-makers, especially in an environment where funding is scarce. Allen also demonstrates how person-centered storytelling transforms technical work into relatable, mission-driven narratives, using real-world examples such as overdose prevention. He explores how tools like partner mapping and shared ownership can help agencies build stronger advocacy plans and create sustainable, collaborative data systems. Whether you're building a data modernization strategy or just beginning to rally your organization around the need for better systems, this conversation offers practical insights, clear examples, and a roadmap for getting started.
Medications for Opioid Use Disorder Access Legal Map | ASTHO
In this episode, ASTHO’s Catherine Jones, a senior analyst for government affairs, breaks down the 2025 federal government shutdown, the longest in U.S. history, and what made it uniquely disruptive compared to the 2018–2019 closure. She explains how debates over ACA premium subsidies, and Medicaid cuts shaped the standoff and why critical programs like telehealth, at-home care, SNAP, and WIC felt the strain. Jones also walks through how the shutdown ultimately ended after multiple failed attempts in Congress, and what public health leaders should take away from the crisis. With another potential shutdown looming as the current continuing resolution approaches its expiration, she lays out the decisions and negotiations to watch in the weeks ahead.
Eight Extraordinary OU Alumni Honored with Regents’ Alumni Award
In this episode, we talk with Jenn Rico, Data Modernization and Surveillance & Informatics Supervisor at the Montana Department of Public Health and Human Services. Jenn shares how Montana has used PHIG funding to accelerate statewide data modernization, and invested in leadership, data governance, a new data lake, GIS capacity, and workforce development. She walks us through Montana’s collaborative approach with its 59 county and tribal public health partners, including a major upgrade and cloud migration of the state’s case surveillance system. Jenn also highlights Montana’s new public-facing query tools, efforts to support data sovereignty, and plans to securely provide direct access to record-level data. Reflecting on the state’s five-year modernization journey, Jennifer discusses what it takes to build systems and culture that last beyond any single grant cycle: prioritizing sustainability, internal capacity, collaboration, and thoughtful use of existing infrastructure.
ASTHO Chief Medical Officer Dr. Susan Kansagra joins us for a candid conversation about the state of public health today. She reflects on her unexpected path into the field, the urgent need to rebuild public trust, and why communicating the everyday value of public health is more critical than ever. Dr. Kansagra also explores how social media, new messengers, and emerging tools like AI can help reshape engagement, boost impact, and energize a workforce facing growing pressure. A motivating reminder that public health is a marathon, not a sprint, and that meaningful progress takes time, partnership, and persistence.
In this episode: how telehealth has evolved from a pandemic-era necessity into a powerful tool for improving access to healthcare. Senior analyst Ashley Cram breaks down the different types of telehealth, from video visits and audio-only consultations to remote patient monitoring, and why each plays an essential role for patients facing challenges like provider shortages, transportation barriers, or limited broadband access. Also, State Epidemiologist Tracy Miller explains how a partnership with North Dakota State University created a student assistantship program that gives MPH students hands-on experience, builds leadership skills among early career staff, and strengthens public health capacity. She shares lessons learned, how the model evolved, and why it could be a blueprint for other states and health departments looking to grow the next generation of public health professionals.
ASTHO Telehealth Project Initiation and Scoping Assessment | astho prod
On today’s Best Of PHRME episode, Maria Courogen, executive director for the Center for Access to Whole Person Care at the Washington State Department of Health, explains how her state worked to enable the continued support of community health workers (CHWs) by developing a sustainable funding model; Dr. Heather Krasna, associate dean of career and professional development at Columbia University’s Mailman School of Public Health.
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On this Public Health Thank You Day, ASTHO’s Chief Medical Officer, Dr. Susan Kansagra, joins us to share encouraging news from the front lines of public health. Thanks to increased partnerships with birthing hospitals and the rollout of monoclonal antibodies for infants and the maternal RSV vaccine, infant RSV hospitalizations dropped nearly 30–40% last season, one of the most significant improvements in years. Dr. Kansagra also discusses a major decline in overdose deaths, driven by expanded community partnerships, naloxone distribution, peer support specialists, and innovative response programs. Looking ahead, she explains what’s next with the new $50 billion Rural Health Transformation Grant, how states plan to use this funding to strengthen workforce, behavioral health, chronic disease prevention, and health technology, and reflects on the collective hard work of the nation’s public health workforce heading into the holiday season.
In this episode, health leaders from Iowa, Maine and Mississippi share their strategies for revitalizing rural healthcare. We hear excerpts from an ASTHO media briefing featuring ASTHO members as they address the urgent challenges facing millions of rural Americans, including healthcare provider shortages, transportation inadequacies, and significant health disparities. The discussion highlights collaborative, evidence-based initiatives designed to ensure the long-term sustainability and quality of rural care.
ASTHO Deskside Media Briefing on Rural HealthFrom Policy to Practice: Supporting Brain Health and Caregiving at the State Level WebinarFunding & Collaboration Opportunities
Utah’s Data Modernization Director, Nicole Yerkes, shares how the state is using PHIG funding to advance a unified, future-ready public health data system. She discusses innovations like AI-assisted analysis, real-time lab data exchange, and the power of cross-agency collaboration through Utah’s Data Modernization Council. Yerkes also highlights the importance of academic partnerships and sustainable funding to ensure modernization efforts endure and evolve.
Public health is at a crossroads. In this episode, Lillian Shirley and Itta Johnson from Public Consulting Group discuss how adaptive leadership can help rebuild trust, strengthen community partnerships, and drive meaningful change across systems. Drawing from real-world initiatives they share practical insights on leading with empathy, collaboration, and purpose in today’s complex public health landscape.