HealthNear.Me23 March 2014

In November 2013 Melissa and I built HealthNear.Me, a web and phone-based application to help people find public health resources near them in Chicago.

HealthNear.Me Screenshot

After we surveyed the current tools people have to use to find a free clinic or a place to find free condoms near them, we knew we could build something better. We also built it because we wanted to enter the Making Public Health Data Work Challenge. We won the first place prize in the competition and we're excited to share a bit more about what HealthNear.Me is, how it works, and how we can improve it.

Search results page of HealthNear.Me

Genesis

Melissa and I attended the Illinois Public Health Datapalooza to learn more about what was happening at the intersection of the public health and technology fields. Melissa is finishing her Masters degree in Public Health, and I am a software developer, so this was a rare intersection of our professional interests. We sat in on a few interesting talks at the event and decided to build something for the app contest. Our first idea involved an app for folks with asthma to record air quality and get alerts for when they might have bad days. A few minutes of Googling showed us that the market was already pretty saturated with apps that did just that.

Looking for a new angle, Melissa started to survey the available health-related datasets on the City of Chicago and State of Illinois data portals and found many lists of service providers; at the same time I reviewed the City of Chicago and State of Illinois web sites to see how the general public could locate service providers near them. What I found was a fragmented, hard to parse set of pages. Results were broken up by type, search by address wasn't available, and the sites didn't work very well on smart phones.

"Find a Clinic" on the Chicago Department of Public Health Site

It was obvious that the experience for finding public health providers was suboptimal, and we could use the raw data published by Chicago Department of Public Health (CDPH) and Illinois Department of Public Health (IDPH) to build our own search tool. I am a big proponent of Tim O'Reilly's argument for government as a platform. Paraphrasing quite a bit, he argues that governments are very good at providing raw data, but not very good at building consumer applications. By focusing on their strengths – collecting, managing, and publishing data about their services – governments can leverage developer communities or hire professional developers to build consumer-facing applications. In this case, the CDPH and IDPH provided immense value by providing relevant, consistent, machine-readable lists of service providers. If they did not publish this raw data in a sane format, we would have never been able to build HealthNear.Me. In the course of a few evenings of coding, I had all of their provider data aggregated, indexed, and available for public searching.

Melissa and I talked about how we thought people might want to look for health resources near them, and what features would be the most useful for them. We didn't spend too much time on design research doing things like interviews or developing personas. Instead, we tried to guess a few common uses cases and build features to support them. For example: "I am a social worker and want to find clinics near where one of my clients goes to school" or "I need to find a place to go warm up" or even "What is the nearest hospital?". One feature that we prioritized was making the application work via SMS. I was inspired by the rich SMS search features available in the Chicago Early Learning site. The City of Chicago has a basic SMS service – CHITEXT – but it doesn't support searching for health providers.

Production

I wrote the backend search index and API in Go. The health provider data lives in an ElasticSearch index. The public-facing application is HTML and AngularJS. Go makes writing APIs very simple. It's fast, handles JSON well, and integrates well with the ElasticSearch. ElasticSearch is fast and does geospatial searches with ease. AngularJS is great at gluing together front end applications and JSON APIs. This technology stack is also what I use for my day job, so I was already very comfortable working with it. The application is running on an EC2 instance provided through Smart Chicago's hosted web space. I signed up for a cheap Twilio plan to handle the SMS integration. Twilio makes it super simple to read and write SMS messages from inside computer programs.

Screenshot of SMS interaction with HealthNear.Me

The application is broken down into two main components: a bulk data loader and a HTTP API. The loader app reads the JSON exports of the CDPH and IDPH data and inserts it into the ElasticSearch index. The API app handles requests from Twilio and the AngularJS application, searches the index, and returns data as a blob of JSON. I'm grateful to a a number of open source libraries that made development much faster, especially the Elastigo and go-geo projects. The entire application source code is available at the health-near-me Github project page. It's licensed under the MIT license, meaning anyone can take the code, make improvements, and run their own local instances of the application.

Future

Melissa and I are excited to continue to develop and refine HealthNear.Me. We've had productive conversations with CDPH about how we can work together to make the application available to the community and how we can increase the quantity and quality of the data in our search index. We would like to explore translation and localization to make it easier for users who do not speak or read English to search for providers near them. The user interface is rough around the edges, owing to a short development cycle and a lack of graphic design skills. We would like to improve the look and feel, and make the search results on the web application more actionable, including showing results on a map and seeing what providers in an area provide multiple services.

We're exceptionally grateful and honored to win the first place prize. We hope that HealthNear.Me continues to grow and becomes a useful tool for people in Chicago and beyond to find public health providers in their communities.

Want to talk about this a bit more? Send a tweet to @cgansen or email me at cgansen@gmail.com.