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Accelerating federal health response

How we used ICF Fathom to cut costs, boost outcomes, enhance client delivery, and accelerate technical assistance in a fast-changing landscape.

Challenge

A federal health agency was overwhelmed by thousands of federal health reports submitted by state, local, and tribal partners. Data came in varied formats—PDFs, spreadsheets, narrative reports, and evaluation tools—making it hard to spot trends or respond quickly to emerging needs.

ICF Fathom in action

Using ICF Fathom, we developed a generative AI–powered learning system designed to turn these fragmented submissions into actionable intelligence. Rather than relying on generic AI models, we began by curating human-written summaries to train a custom model that could understand key themes, priorities, and outliers in the data.

We used a “human-in-the-loop” approach—where data scientists and federal health experts iteratively refined the model to ensure accuracy, relevance, and fairness. The result: an AI system that ingests disparate reports and generates consistent summaries across jurisdictions, viewable through a user-friendly dashboard that supports decision-making in real time.

Impact

“What used to take months, we now do in hours.”

— ICF Senior Director of Training and Technical Assistance

With the AI system in place, analysis that once took weeks now happens in hours. Federal health staff no longer spend time wrangling data—they focus on interpretation, action, and engagement with partners.

Today, the tool is used across more than 90 jurisdictions, powering dashboards that help the agency spot trends, prioritize outreach, and respond faster to emerging threats.

Final thought

By transforming fragmented federal health data into mission-ready insight, this AI solution is helping federal leaders make better use of limited resources and stay ahead of risk—while delivering better outcomes for communities nationwide.

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