Health Systems
Infrastructure Lab

We study the infrastructure that shapes who gets care and how.

The Health Systems Infrastructure Lab examines the foundational architecture of health system operations, focusing on the structures and pathways that determine how people move through coverage, benefits, and care.

Mapping the structures that shape access and continuity.

Explore the Lab
About HSIL studies the foundational structures that shape how health systems operate, including the rules, pathways, and administrative arrangements that determine how people move through coverage, benefits, and care. Our work sits beneath policy debates, at the level where administrative design determines what people can actually access. Research Our research focuses on four domains, including eligibility structures, routing pathways, system architecture and integration, and facility infrastructure and regulatory compliance. We examine how design choices at the infrastructure level shape access, continuity, and outcomes at scale. Our goal is to make the invisible architecture of health systems legible and to show how its design produces or prevents reliable access to care. Publications We publish technical analyses, structural frameworks, and system-level diagnostics that translate how administrative infrastructure shapes access and continuity of care. Our goal is to make system structure legible for researchers, policymakers, and practitioners working to improve how programs function in practice.
Focus Areas
Coverage as Structure

Understanding how coverage programs are arranged and how those arrangements shape continuity, movement, and the experience of staying connected to care.

Pathways of Access

Tracing how benefits, medications, and services move through administrative pathways, and the conditions that influence access across systems.

Administrative Decision Points

Examining the rules and processes that determine what happens as people move through programs, and how these decision points shape real outcomes.

Facility Compliance Infrastructure

Examining the physical environments of regulated care settings and the spatial standards, compliance frameworks, and assessment methodologies that determine whether facilities meet the requirements under which they operate.

Recent Work

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