The City and County of San Francisco and FUSE are working together to strengthen the systems behind the Department of Public Health (DPH)’s population health and equity work. DPH runs a broad citywide effort spanning clinical services, behavioral health, prevention programs, and partnerships with providers, community organizations, and academic institutions like UCSF. Under new leadership, the department has made health equity a core strategic priority and is now defining how that commitment shows up in outcomes. As its initiatives have grown, DPH sees an opportunity to connect programs more tightly, use data more effectively in decisions, and bring greater consistency to how it tackles complex health challenges that fall hardest on communities of color.
Beginning in Fall 2026, FUSE Executive Fellow Shanti Kim will lead a 90-day listening tour across population health, behavioral health, clinical services, and data teams, along with external partners, while reviewing strategic plans, data systems, and national best practices. Kim will then build a department-wide model that aligns programs, partnerships, and data; clarify roles across divisions; create consistent stakeholder engagement approaches; and set up a performance measurement framework with priority process and outcome metrics. Working with staff, Kim will pilot and refine these approaches and help align DPH’s maternal and infant health work with broader citywide efforts. By Fall 2027, deliverables will include a strategy and outcomes alignment framework, a cross-divisional accountability structure, standardized tools, piloted strategies across focus areas, and a performance measurement and sustainability plan, with Year Two shaped by that progress.
