Public Health Infrastructure Institute

Most community health organizations
start the same way.

Spreadsheets.
Manual reports.
Data everywhere — insight nowhere.
Scroll and watch what happens
when the system finally works.
01 — Where You Are Now
The spreadsheet trap
Your care coordinators enter the same client data into 3 different files. Your program manager spends weekends building funder reports by hand. You know your impact is real — you just can't prove it fast enough.
72%
Still on Excel
Data re-entry
40h
Lost / month
02 — Enter Once, Done
One intake. Everywhere.
Your frontline staff enters data once — on a phone, tablet, or laptop. That single entry flows into case tracking, program reporting, and funder dashboards automatically.
Data entry
5
Workflows digitized
03 — See Everything
Your dashboard, live
Open your laptop Monday morning and see exactly how your programs performed last week. Client referrals. SDOH screenings by site. Service gaps across your offices. No digging.
Live
Real-time
3
Dashboard views
1–3
Office sites
04 — Prove Your Impact
Funder reports, handled
That quarterly report your program manager dreads? It builds itself. Demographics, service counts, outcomes, SDOH indicators — pulled live from the same system your team already uses.
95%
Automated
4.2mo→0
Delay eliminated
05 — Ready For What's Next
From surviving to scaling
Clean data wins new grants. Your second office shares the same system. Coalition partners see shared metrics. You're not a small CBO with spreadsheets anymore.
Yours
You own the system
$0
License fees, forever
One system
for everything
your program does
Case Management
Program Metrics
Funder Reporting
Coalition Analytics
The Problem

Community health is drowning in data deserts

Billions flow into community health. Yet most organizations cannot connect a single dollar to a single outcome. Data sits in disconnected spreadsheets, siloed EHRs, and quarterly PDF reports that arrive months too late.

PHI:I builds the missing data infrastructure for community health organizations.

0%
of CBOs use spreadsheets for case management
0mo
average delay to funder report
0%
of coalitions lack shared infrastructure
of every grant dollar lost to overhead
Source: PHI:I analysis of 120+ community health organizations, 2024
How We Work

We meet you where you are.
Then build from there.

Start Here1–3 Office CBOs

Foundation

Your spreadsheets become a real system. Pre-configured data entry, digitized workflows, and dashboards that show your funders exactly what your program does.

Pre-built intake & referral forms
5 core workflows digitized
3 funder-ready dashboards
Hands-on staff training
GrowMulti-site & Coalitions

Network

Multiple offices or partner agencies? We connect them. Shared data, shared dashboards, individual privacy — one system, many doors.

Multi-site data architecture
Cross-agency data agreements
Connections to EHRs & registries
Regional impact dashboards
ScaleState & National

Infrastructure

Full-scale system engineering for public health departments, large NGOs, and philanthropic foundations building permanent data infrastructure.

Enterprise architecture design
National registry alignment
Compliance & governance frameworks
Long-term change management
Proven at Every Level

Infrastructure at Every Scale

Community Health Programs

Case management, intake workflows, outcome tracking, and funder-ready reporting for CBOs with 1–3 offices.

Regional Coalitions

Cross-agency data governance, shared dashboards with individual privacy, and regional SDOH intelligence across partner networks.

National Systems

Public health intelligence platforms, master facility registries, and sovereign data infrastructure aligned with WHO standards.

The Laboratory

Infrastructure in action

Local · United States Foundation Tier

Texas Refugee Health Coalition

From 14 disconnected spreadsheets to a single live referral network. Three offices, four programs, one system — deployed in 6 weeks.

14→1
Spreadsheets eliminated
6 wk
Deployment time
92%
Staff adoption rate
Global · East Africa Infrastructure Tier

National Immunization Tracking

Scalability stress-test: preparing DHIS2 architecture for national-level immunization tracking across 47 counties, 8,000+ facilities.

47
Counties covered
8K+
Health facilities
WHO
Standards aligned
Research & Publications

Peer-reviewed. Field-tested.

White Paper

DHIS2 as a Sovereign Data Engine for US Community Health

Why open-source architecture is the only path to data equity in fragmented community health ecosystems.

Read Paper →
Technical Framework

From Program Data to Population Intelligence

The architecture behind transforming individual case records into population-level health indicators.

Read Framework →
Policy Brief

Open-Source Sovereignty in Public Health

Why governments and foundations should mandate open-source architecture for publicly funded health data systems.

Read Brief →
Research Report

The Infrastructure Gap in Community Health

Findings from our analysis of 120+ CBOs: how the absence of shared infrastructure creates invisible inefficiency.

Read Report →
Frameworks & Models

The intellectual architecture
behind the systems we build.

PHI:I Data Maturity Model
Level 1
Spreadsheets

Manual data entry, duplicated records, no single source of truth.

Level 2
Program Systems

Digitized workflows, centralized data entry, basic dashboards.

Level 3
Coalition Analytics

Cross-agency data sharing, governed interoperability, regional intelligence.

Level 4
Population Intelligence

Real-time public health intelligence, predictive analytics, national reporting.

Governance Model
Data Use Agreements

Legally vetted DUAs that define who can access what data, under what conditions, before any system is configured.

Metadata Standards

Reusable indicator libraries, standardized data dictionaries, and organization unit hierarchies built for cross-program comparison.

Privacy Architecture

HIPAA-aligned role-based access controls, data ownership hierarchies, and audit trails that protect vulnerable populations.

About PHI:I

Our Mission

PHI:I builds open-source public health data infrastructure for community organizations, coalitions, and governments. We believe community health data infrastructure should be robust, secure, and accessible — never held hostage by proprietary vendors or perpetual licensing fees.

What Makes Us Different

Open-Source Sovereignty

Clients own their systems. No vendor lock-in. No license fees. The code is yours.

Interoperability by Design

Everything connects. EHRs, state registries, partner systems — API-first from day one.

Standardization over Customization

Reusable architecture beats one-off builds. Your second site takes days, not months.

Governance First

Technology without governance creates chaos. We establish trust protocols before we write a single line of configuration.

Where We Work

United States
Community health, refugee services, SDOH coalitions
East Africa
National health systems, immunization, HMIS infrastructure
Infrastructure Library

Open resources for the field

Templates, standards, and tools developed through our implementations — freely available to advance public health data infrastructure.

Templates
Metadata Starter Kits

Pre-built DHIS2 metadata packages for maternal health, chronic care, SDOH, and refugee services programs.

Standards
Indicator Libraries

Standardized health outcome indicators aligned with funder requirements and national reporting frameworks.

Governance
DUA & Policy Templates

Legally vetted Data Use Agreement templates, BAAs, and privacy protocol frameworks ready for adaptation.

Next Step

Two ways to start

Whether you want to diagnose the problem first or you already know you need help — there's a door for you.

Self-Assessment

Take the Diagnostic

9 questions. 3 minutes. Instant maturity score with domain-by-domain breakdown. No login, no commitment.

Start Assessment
Free · Instant results · Full brief available
Direct Conversation

Talk to Us

Already know what you need? Referred by a partner? Ready to move? Skip the quiz and let's talk infrastructure.

Get in Touch
Implementation · Research · Partnerships
Get in Touch

Three ways to engage

Implementation Support
Build Your System

Start with a free Data Maturity Diagnostic. We'll assess your current infrastructure and map a path to operational intelligence.

Request Diagnostic
Research Collaboration
Partner With Us

We collaborate with academic institutions, public health departments, and foundations on infrastructure research and methodology development.

research@phiimpact.org
Partnership Inquiries
Join the Network

Foundations, grant writing agencies, EHR vendors, and HIEs — we build stronger together. Let's explore alignment.

partnerships@phiimpact.org