Comprehensive AI Operating System for Public Health Professionals
Part of the CoTrackPro "Access To" Initiative — open-source civic resource systems for justice, education, housing, services, peace, safety, and health.
A complete operating system for public health — not just a reference library. Routes professionals by role, loads population-specific guidance, executes workflows via slash commands, and generates artifacts from screening results to board presentations.
20 roles. 25 populations (10 with deep dives). 50 eval cases. 25 slash commands with full implementation. 10 MCP tools. 60+ reporting and communication artifacts. Bilingual Spanish layer. 42 AI prompts. 10 SOPs. 8 cross-role workflows with decision trees. 52-week engagement calendar. Cross-sector integration guides for developers, city planners, accountants, government, and technology companies. FHIR R4 / Gravity Project data standards. ROI calculator with evidence-based intervention profiles.
Missouri reference implementation. Nationally applicable.
| Role | Entry Point |
|---|---|
| Epidemiologist | roles/epi.md → 5 workflows from daily surveillance to outbreak investigation |
| Community Health Worker | roles/chw.md → Navigation, screening, home visits, care coordination |
| Public Health Nurse | roles/phn.md → Immunization, maternal/child, chronic disease, school health |
| Health Director | roles/hdo.md → Strategy, emergency authority, budget, workforce, governance |
| Behavioral Health Clinician | roles/priority-roles.md → Assessment, crisis, integrated care, groups |
| Environmental Health Specialist | roles/priority-roles.md → Inspections, hazard investigation, lead, water |
| Health Educator | roles/remaining-roles.md → Program design, workshops, CE, health literacy |
| Communications Specialist | roles/priority-roles.md → Campaigns, media, crisis comms, social media |
| Program Manager | roles/priority-roles.md → Operations, grants, supervision, evaluation |
| Data Analyst | roles/remaining-roles.md → Dashboards, data quality, reporting, analytics |
| Policy Advocate | roles/remaining-roles.md → Legislative tracking, HIA, coalitions, HiAP |
| All 20 roles | roles/ROLE-REGISTRY.md → Full index with pod structure and routing |
| Audience | Entry Point |
|---|---|
| Developers / Engineers | integration/developer-guide.md → FHIR, APIs, data standards, MCP tools, compliance |
| City Planners | integration/city-planning-health.md → HIA, zoning overlays, transportation, housing, parks |
| Accountants / CFOs | integration/fiscal-operations.md → ROI, cost-benefit, grant finance, audit, Medicaid billing |
| Government / Elected Officials | integration/government-toolkit.md → Legislation, constituent comms, intergovernmental, HiAP |
| Technology Companies | integration/health-tech-vendor-guide.md → Procurement, compliance, interoperability, partnerships |
| Data Engineers | integration/cross-sector-data-standards.md → FHIR R4, Gravity Project, open data APIs, de-identification |
flowchart LR
A[User Input] --> B[Role Identification]
B --> C[Population Context]
C --> D[Command / Workflow]
D --> E[Artifact Generation]
E --> F{Cross-Role Handoff?}
F -- Yes --> B
F -- No --> G[Deliver Output]
flowchart TD
R[20 Public Health Roles] --> P1[Surveillance Pod]
R --> P2[Community Pod]
R --> P3[Clinical Pod]
R --> P4[Behavioral Health Pod]
R --> P5[Maternal-Child Health Pod]
R --> P6[Education Pod]
R --> P7[Environment Pod]
R --> P8[Policy & Leadership Pod]
R --> P9[Operations Pod]
P1 --> P1a[Epidemiologist]
P1 --> P1b[Disease Intervention Specialist]
P1 --> P1c[Data Analyst]
P2 --> P2a[Community Health Worker]
P2 --> P2b[Community Engagement Specialist]
P3 --> P3a[Public Health Nurse]
P3 --> P3b[Oral Health Coordinator]
P4 --> P4a[Behavioral Health Clinician]
P4 --> P4b[Substance Use Prevention]
P5 --> P5a[MCH Specialist]
P5 --> P5b[Nutritionist]
P6 --> P6a[Health Educator]
P6 --> P6b[School Health Coordinator]
P7 --> P7a[Environmental Health Specialist]
P8 --> P8a[Health Director]
P8 --> P8b[Policy Advocate]
P9 --> P9a[Program Manager]
P9 --> P9b[QI Coordinator]
flowchart TD
S1[Screen Patient] --> S2{Which Tool?}
S2 --> T1[PRAPARE]
S2 --> T2[AHC Screen]
S2 --> T3[Quick Screen]
T1 & T2 & T3 --> S3[Risk Scoring Algorithm]
S3 --> S4[Match Resources by Domain]
S4 --> D1[Housing]
S4 --> D2[Food]
S4 --> D3[Income]
S4 --> D4[Health Care]
S4 --> D5[Education]
S4 --> D6[Safety]
S4 --> D7[Transportation]
S4 --> D8[Utilities]
S4 --> D9[Childcare]
D1 & D2 & D3 & D4 & D5 & D6 & D7 & D8 & D9 --> S5{Tier?}
S5 --> R1[Emergency / Immediate]
S5 --> R2[Short-Term]
S5 --> R3[Long-Term]
R1 & R2 & R3 --> S6[Warm Handoff Referral]
S6 --> S7[Follow-Up & Outcome Tracking]
flowchart TD
A[Report Received — lab, provider, school] --> B[Epidemiologist: Initial Assessment 0-2 hrs]
B --> C[Assemble Investigation Team 2-4 hrs]
C --> D1[Case Interviews → Line List & Epi Curve — EPI]
C --> D2[Environmental Assessment — EHS]
C --> D3[Specimen Collection — Lab / PHN]
C --> D4[Community Notification Drafting — HCS]
D1 & D2 & D3 & D4 --> E[Preliminary Analysis 4-12 hrs]
E --> F[SitRep #1 to Health Director]
F --> G[Control Measures Implementation 12-24 hrs]
G --> H{Public Communication Warranted?}
H -- Yes --> I[Media / Community Messaging]
H -- No --> J[Continued Monitoring]
I --> J
J --> K[Daily / Weekly SitReps Until Resolved]
K --> L[Final Investigation Report & After-Action Review]
flowchart LR
U[User] -->|slash command| CMD[Command Router]
CMD --> I[INPUT: Validate Parameters]
I --> P[PROCESS: Execute Logic]
P --> O[OUTPUT: Generate Artifact]
O --> ERR{Errors?}
ERR -- Yes --> H[ERROR: Guidance & Recovery]
ERR -- No --> D[Deliver to User]
H --> I
✅ = exists in repo — all files complete
access-to-health/ 46 files │ ~80,000 words
├── SKILL.md ✅ Lean routing hub (progressive disclosure)
├── README.md ✅ This file
├── AUDIT.md ✅ Audit report and build plan
├── LICENSE ✅ MIT license
├── .gitignore ✅ Git ignore rules
│
├── roles/ 20 PUBLIC HEALTH ROLES
│ ├── ROLE-REGISTRY.md ✅ Index, pods, routing logic
│ ├── epi.md ✅ Epidemiologist (5 workflows deep dive)
│ ├── chw.md ✅ Community Health Worker (5 workflows deep dive)
│ ├── phn.md ✅ Public Health Nurse (5 workflows deep dive)
│ ├── hdo.md ✅ Health Director (5 workflows deep dive)
│ ├── priority-roles.md ✅ BHC, EHS, MCH, HCS, PMG, EPC
│ ├── remaining-roles.md ✅ DIS, NUT, SUP, SHC, OHC, CES, QIC, DAT, POL, HED
│ └── all-roles.md ✅ 20-role quick reference index
│
├── populations/ 25 POPULATIONS + 10 DEEP DIVES
│ ├── POPULATION-REGISTRY.md ✅ Master registry (25 populations, routing, SDOH matrix)
│ └── deep-dives/ Individual population files
│ ├── black-african-american.md ✅ Full deep dive
│ ├── hispanic-latino.md ✅ Full deep dive
│ ├── pregnant-postpartum.md ✅ Full deep dive
│ ├── homeless.md ✅ Full deep dive
│ ├── people-who-use-drugs.md ✅ Full deep dive
│ ├── immigrant-refugee.md ✅ Full deep dive
│ ├── lgbtq.md ✅ Full deep dive
│ ├── older-adults.md ✅ Full deep dive
│ ├── justice-involved.md ✅ Full deep dive
│ ├── rural.md ✅ Full deep dive
│ └── all-deep-dives.md ✅ Combined reference (all 9 above)
│
├── workflows/ 8 CROSS-ROLE WORKFLOWS
│ ├── cross-role-workflows.md ✅ Original summaries (quick reference)
│ └── cross-role-workflows-expanded.md ✅ Decision trees, timelines, templates, escalation
│
├── commands/ 25 SLASH COMMANDS
│ ├── COMMANDS.md ✅ Command quick reference
│ └── COMMAND-SPECS.md ✅ Full INPUT→PROCESS→OUTPUT→ERROR specs
│
├── communication/ INTERNAL + EXTERNAL COMMUNICATION
│ ├── internal-playbook.md ✅ Staff, leadership, governance, interagency, frameworks
│ └── external-playbook.md ✅ Media, digital, regulatory, community presentations
│
├── artifacts/ 60+ REPORTING ARTIFACTS
│ ├── reporting-templates.md ✅ 60+ report templates (surveillance, grants, community, etc.)
│ └── role-artifacts.md ✅ 13 role-specific document templates
│
├── features/ CORE FEATURES
│ ├── sdoh-screener.md ✅ PRAPARE/AHC/Quick Screen + scoring + follow-up
│ ├── resource-navigator.md ✅ 9 domains × 3 tiers + MO resources
│ ├── advocacy-toolkit.md ✅ Scripts, testimony, coalition, HIA, media
│ └── education-toolkit.md ✅ 5 modules (CE, community, career, PH 101, TTT)
│
├── messaging/ CAMPAIGNS + CONTENT
│ ├── campaign-builder.md ✅ 6 campaigns + planning framework
│ ├── social-media-library.md ✅ 27 posts, 9 categories, hashtag strategy
│ ├── trust-rebuilding-playbook.md ✅ Local proxy model, HEAR framework, prebunking
│ └── email-sequences.md ✅ 8 lifecycle sequences (30 total emails)
│
├── references/ KNOWLEDGE BASE
│ ├── apha-knowledgebase.md ✅ 23 APHA topic areas synthesized
│ ├── apha-url-index.md ✅ Live URL index for runtime reference
│ ├── fiscal-crisis-brief.md ✅ 5-pillar Unified Health Blueprint
│ ├── funding-guide.md ✅ Federal/state/foundation funding sources
│ └── missouri-public-health.md ✅ MO infrastructure, St. Louis data, programs
│
├── bilingual/ SPANISH LAYER
│ └── spanish-layer.md ✅ Screening scripts, resource phrases, cultural concepts,
│ promotora model, social media, language access
│
├── mcp/ MCP INTEGRATION
│ └── MCP-SCHEMA.md ✅ 10 tool schemas + connector integration map
│
├── evals/ EVALUATION
│ └── EVAL-SUITE.md ✅ 50 test cases across 5 categories
│
├── scripts/ OPERATIONS
│ └── team-sops.md ✅ 10 SOPs
├── schemas/ DATA
│ └── sdoh-data-model.json ✅ 5-table HIPAA-ready schema
├── templates/ GRANT + POLICY
│ └── grant-and-policy-templates.md ✅ LOI, narrative, logic model, budget, brief, resolution
├── tools/ DEVELOPER
│ ├── sdoh-score.ts ✅ TypeScript SDOH risk scoring
│ ├── campaign-generator.ts ✅ AI campaign engine
│ ├── roi-calculator.ts ✅ Public health ROI calculator
│ └── apha-fetcher.js ✅ Node.js APHA reference lookup
├── integration/ CROSS-SECTOR
│ ├── developer-guide.md ✅ FHIR, APIs, architecture, compliance
│ ├── city-planning-health.md ✅ HIA, zoning, transportation, housing, parks
│ ├── fiscal-operations.md ✅ ROI, CBA, budgeting, audit, Medicaid billing
│ ├── government-toolkit.md ✅ Legislation, constituent comms, HiAP
│ ├── health-tech-vendor-guide.md ✅ Procurement, compliance, interoperability
│ └── cross-sector-data-standards.md ✅ FHIR R4, Gravity Project, open data, de-ID
└── assets/ REFERENCE
├── ai-prompt-library.md ✅ 42 production prompts
├── data-reference.md ✅ Key statistics + MO data
└── engagement-calendar.csv ✅ 52-week calendar
| Pillar | Repo | Status |
|---|---|---|
| Justice | access-to-justice | Complete |
| Education | access-to-education | Complete (69 files, 120K words) |
| Housing | access-to-housing | Complete |
| Services | access-to-services | Complete |
| Peace | access-to-peace | Complete |
| Safety | access-to-safety | Complete |
| Health | access-to-health | Complete (57 files, ~65K words) |
MIT — Use freely. Attribution appreciated.
Doug Devitre — cotrackpro.com — dougdevitre@gmail.com