CEO Blog: Tips & Stories from the Field

Welcome to the CEO Blog, where our Founder & CEO, Alexandra Piatkowski, shares reflections, tips, and stories from her journey in public health. This space offers insights on leadership, equity, and turning data into action — with lessons from the field and ideas to inspire healthier communities.

entrepreneurship, professional development Allie Piatkowski entrepreneurship, professional development Allie Piatkowski

What We Built Together in 2025 — and What Comes Next

As 2025 comes to a close, it feels important to pause — not just to tally accomplishments, but to reflect on what this year has meant.

For Piat Public Health, 2025 was about foundations and collaboration. And it was really the fall of 2025 that marked the beginning of this chapter: the moment when an idea officially became a woman-owned public health consultancy, and when a long-held vision started to take shape in the open.

We can’t wait to continue collaborations in 2026!

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community engagement, consulting Allie Piatkowski community engagement, consulting Allie Piatkowski

Is consulting ‘dead’? Only if it never helped you build anything real.

Some people get frustrated with consulting because they’ve seen it focus on the wrong things and not make the desired impact. But here’s the reset:

Consulting isn’t supposed to be about echoing ideas. It doesn’t have to be about repeating the same playbook. It can be a real support system that helps teams grow, improve, and deliver more impact.

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community engagement, education, advocacy Allie Piatkowski community engagement, education, advocacy Allie Piatkowski

Defending Public Health: What It Really Takes in 2025

Public health shouldn’t have to fight for its place, but in 2025 it often does. Political pressure, public skepticism, and post-COVID cracks in trust are shaping the landscape we work in.

We can’t control the politics or the misinformation—but we can control how we show up, how we communicate, and how we rebuild trust. Here’s what defending public health really looks like now.

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community engagement, needs assessment, health equity Allie Piatkowski community engagement, needs assessment, health equity Allie Piatkowski

Why Community Needs Assessments Still Matter — And What We Lose When We Skip Them

Community needs assessments are so common in public health that they’re sometimes seen as routine. A requirement. A checkbox. Something we do because it’s expected.

But when we strip away the buzzwords and templates, the purpose remains deeply meaningful:

A needs assessment is an opportunity to stop assuming and start listening.

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The Ultimate Guide to Community Needs Assessments: Moving from Insight to Impact

Community health needs assessments are the foundation of effective public health strategy. But too often, they rely solely on existing data sources — datasets that miss the very voices most impacted by inequities.

Here’s how to design an equity-centered, mixed-methods assessment using the five steps of the Insight to Impact Roadmap.

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From Epidemiologist to Entrepreneur: Why I Had to Unlearn Everything I Knew About “Expertise”

Five years ago, if you’d told me I’d be running my own public health consulting business, I would have laughed.

Stepping into entrepreneurship has been humbling. It forced me to realize that the version of “expertise” I carried with me wasn’t going to be enough — and, in some ways, it was even holding me back.

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7 Mistakes You're Making with Community Engagement (and How to Fix Them)

In my work, I see the same pattern over and over: community engagement is the backbone of effective public health, and small missteps can stall great work.

The good news: once you spot these patterns, you can turn stagnant outreach into steady, trusted participation that moves health outcomes.

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