Image of policy leaders finding policy solutions with Esper

5 Brutal Challenges Facing Public Health Leaders (and How to Fix Them)

Josh Ellars April 28, 2025

Running a Department of Health isn’t for the faint of heart.

You’re balancing fast-moving regulations, emergency response, strategic initiatives, and community outreach — and somehow, you’re expected to do it all with tighter budgets and higher expectations.

So if it feels like you’re building the plane while flying it, you’re not alone.

Here are the top five operational hurdles health departments are facing — and how smarter policy management (like Esper) can help you not just survive, but lead with confidence.

1. Policy Drafting That Moves at a Snail’s Pace

Siloed teams. Endless back-and-forth emails. Lost edits.

It’s no wonder critical health responses often get delayed.

Real-time collaboration and smart version tracking change everything.

When your teams can edit together, follow structured workflows, and eliminate rework, policies move from draft to done faster — without chaos.

Just look at the COVID-19 response: departments with better collaboration got critical updates out days (even weeks) faster. Those that didn’t? They were left scrambling.

2. No Single Source of Truth = Confusion (and Risk)

Policies and rules scattered across inboxes, SharePoint sites, Word docs, and PDFs are a ticking time bomb.

One outdated version gets followed — and suddenly you’re facing compliance risks and public mistrust.

A centralized policy and rule platform gives your team and your community one authoritative source for every rule, policy, and update.

Clear, current, and trusted — exactly how public health should be.

3. Regulatory Reform That Eats Your Entire Year

Regulatory reviews are painful.

Identifying outdated policies by hand is slow, expensive, and… let’s be honest, nobody wants that job.

Automated regulatory review makes it easy.

Instead of wasting months combing through documents, your team can flag and fix issues fast — staying agile with new laws, new challenges, and shifting priorities.

More efficiency. Less pain.

4. Flying Blind on Policy Impact

If you’re not tracking policy engagement, how do you know what’s working?

Spoiler alert: You don’t.

With modern analytics, you can measure compliance rates, engagement levels, and see exactly where things are falling short — before it turns into a bigger problem.

Insight = power.

5. Solutions That Don’t Scale as You Grow

Health departments aren’t just expanding — they’re evolving.

But outdated systems aren’t keeping up.

Paper-based regulations, Word doc chaos, endless email chains, and clunky legacy “cloud” tools are dragging public health leadership back into the dark ages.

Modern public health demands more:

  • Unified, real-time policy management
  • Scalable platforms that actually grow with you
  • AI-powered insights to stay ahead of change

Scalability isn’t a “nice-to-have” anymore — it’s survival.

And the future belongs to those who embrace it.

Meet Esper: The Modern Solution for Public Health Leaders

Esper was built to tackle these challenges head-on:

  1. Streamline policy drafting
  2. Centralize access to rules and policies
  3. Automate regulatory review
  4. Deliver actionable analytics
  5. Scale effortlessly as you grow

Modernize your department’s operations. Cut inefficiency. Build community trust.

See what’s possible with Esper.

Robust Tools for Policymakers

Manage the end-to-end policymaking process

See the Product Esper is streamlining policymaking for agencies
across the U.S.

See Esper in action