IPP Launches Public Health Cost Gap Analysis Project

Missouri Foundational Public Health Services Model


Author: Jill Lucht

The MU Institute of Public Policy recently launched the Missouri Foundational Public Health Services (FPHS) Gap Analysis Project. Funded by the Missouri Department of Health and Senior Services, the project aims to assess the funding gap that exists between current spending at Missouri’s local public health agencies (LPHAs) and the expenditures necessary to deliver a full set of foundational public health services.

Missouri’s Foundational Public Health Services (FPHS) Model was developed through a grassroots process led by #Healthier MO, which defines FPHS as “a minimum set of fundamental services and capabilities that must be available in every community in order to ensure Missouri’s public health system delivers equitable opportunities for good health to all Missourians.” The model includes seven capabilities such as Community Partnership Development and Emergency Preparedness & Response, and six areas of expertise like Environmental Public Health and Chronic Disease Prevention.  

The project will calculate the cost gap between current spending on foundational public health services at the LPHA level and the funding required to fully implement the model. Toward this purpose, the project is developing a standardized tool for LPHAs to monitor and report annual expenditures associated with implementing the model, along with a user manual, training and technical assistance to LPHAs utilizing the tool.


Project Team Members: Sara Gable, PhD; Adrienne Ohler, PhD, MU Division of Applied Social Sciences; Jill Lucht, MS; Syrus Duffy, BA

Funder:  Missouri Department of Health and Senior Services

Contact: Jill Lucht, luchtj@missouri.edu, 573-882-8191