The hospital has long functioned as the symbolic and operational center of healthcare systems. Funding, workforce pipelines, policy conversations, and performance metrics have historically revolved around it.

But healthcare is decentralizing.

Chronic disease management increasingly occurs outside hospital walls. Telehealth reshapes access. Employers influence prevention strategy. Community organizations and universities function as distributed health nodes. Yet much of public health strategy still operates under hospital-centric assumptions.

In this episode of The Public Health Practice Gap, Dr. Bradley Fevrier examines what happens when the structural center of healthcare shifts — but leadership models, funding logic, and workforce design do not.

This episode explores:

• Why hospital-centric thinking persists
• How decentralization changes authority and accountability
• The risks of designing strategy for an outdated model
• What distributed healthcare requires from public health leadership

The hospital remains essential. But it is no longer the sole organizing principle of healthcare. The future belongs to coordinated networks, not centralized control.

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Hosted by Dr. Bradley Fevrier
Founder, NextGen Public Health Consultancy
https://nextgenpublichealthconsulting.com

New episodes every Tuesday.

Hospital-at-Home, policy incentives, and what breaks when care leaves the building.

Hospitals are increasingly treating patients at home instead of admitting them, not as a temporary workaround, but as a structural shift in care delivery.

This episode explains why reimbursement policy, not technology, is driving the change and how it reshapes responsibility, equity, and expectations in healthcare.

NextGen Public Health Consulting: https://www.nextgenpublichealthconsultancy.com/
The NextGen Brief Newsletter: https://the-nextgen-brief.beehiiv.com/subscribe

New episodes every Tuesday.

We rely on evidence-based public health programs to guide policy, protect communities, and improve population health.

Yet despite an unprecedented volume of research and best-practice guidance, many public health programs still struggle to achieve their intended impact.

In the first episode of The Public Health Practice Gap, public health educator and consultant Bradley Fevrier examines why evidence-based interventions often break down in real-world settings — not because the science is wrong, but because systems are misaligned with the conditions required for success.

Using the Flint Water Crisis as a central case study, alongside other well-documented public health failures, this episode explores how gaps in governance, workforce capacity, accountability, and evaluation undermine even the strongest evidence.

This podcast is not about assigning blame.
It is about understanding where implementation fails — and what it takes to bridge the gap between research, education, and practice.

This episode is intended for public health professionals, educators, policymakers, and anyone working at the intersection of evidence and real-world impact.