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Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans
Elizabeth Woods Fox, Talyah Sands Leavitt, Tyrone J. Bethune, Meghan Fadel. Journal of Public Health Management and Practice, 2025-07-17
Topic: Risk, prevention and care in population studies
As states work to maximize limited resources while improving population outcomes, the strategic alignment of planning processes represents a significant opportunity. Key Findings In 2025, the Association of State and Territorial Health Officials (ASTHO) partnered with the Alzheimer’s Association to build on a previous analysis of one state’s SHIP and SPoA and expand the methods to include ADRD plans.2 A systematic crosswalk analysis of SHIPs, SPoAs, and ADRD plans from 5 states (Idaho, Minnesota, Mississippi, Missouri, and Tennessee) revealed significant thematic overlap and opportunities for integration across multiple domains. Practical Tool Overview To translate these findings into practice, ASTHO developed a State Health Planning Crosswalk Tool (publication expected in summer 2025). Conclusion and Next Steps Aligning state health improvement, aging, and dementia plans represents a significant opportunity to move beyond traditional silos and create more effective, efficient, and equitable systems.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Fox, E. W., Leavitt, T. S., Bethune, T. J., & Fadel, M. (2025). Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans. Journal of Public Health Management and Practice. https://doi.org/10.1097/phh.0000000000002182
Vancouver
Fox EW, Leavitt TS, Bethune TJ, Fadel M. Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans. Journal of Public Health Management and Practice. 2025. doi:10.1097/phh.0000000000002182. PMID: 40689804.
BibTeX
@article{fox2025-40689804,
author = {Fox, Elizabeth Woods and Leavitt, Talyah Sands and Bethune, Tyrone J. and Fadel, Meghan},
title = {{Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans}},
journal = {Journal of Public Health Management and Practice},
year = {2025},
doi = {10.1097/phh.0000000000002182},
pmid = {40689804},
url = {https://doi.org/10.1097/phh.0000000000002182}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- As states work to maximize limited resources while improving population outcomes, the strategic alignment of planning processes represents a significant opportunity.
- Key Findings In 2025, the Association of State and Territorial Health Officials (ASTHO) partnered with the Alzheimer’s Association to build on a previous analysis of one state’s SHIP and SPoA and expand the methods to include ADRD plans.2 A systematic crosswalk analysis of SHIPs, SPoAs, and ADRD plans from 5 states (Idaho, Minnesota, Mississippi, Missouri, and Tennessee) revealed significant thematic overlap and opportunities for integration across multiple domains.
- Practical Tool Overview To translate these findings into practice, ASTHO developed a State Health Planning Crosswalk Tool (publication expected in summer 2025).
- Conclusion and Next Steps Aligning state health improvement, aging, and dementia plans represents a significant opportunity to move beyond traditional silos and create more effective, efficient, and equitable systems.
Why it matters
This work is about aligning state health improvement, aging, and dementia plans across five states to reduce duplication and improve planning. It does not study any treatment, cure, or prevention of Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 29/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Public Health Management and Practice) |
| Journal's citation record | 1 / 4 | Journal of Public Health Management and Practice: journal h-index 79 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Meghan Fadel: h-index 1 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Alzheimer's Association: institution h-index 250 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40689804) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 29 / 100 | — |
What each of these 20 components measures, and what this score is not →
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