01

Fractional and Interim Leadership

Steady, accountable leadership when you need it most.

Vacancies, transitions, and growth spurts are hard on any organization. We step in to keep the work moving, support your team, and set up whoever comes next to succeed.

• Interim leadership roles. Stepping in at the executive or director level during vacancies or big changes, from CEO and Chief Strategy Officer to program and department director, keeping daily operations aligned with your mission and your community commitments.
• Organizational stabilization. Keeping operations on track during transitions, so team morale, grant requirements, workforce culture, and patient care don't slip.
• Board insight on care and community. Helping boards understand clinical quality, health equity, and the needs of the communities they serve, including community needs assessments, so their decisions reflect the people they're accountable to.
• Leadership mentoring. Mentoring clinical supervisors, practice managers, and emerging leaders, the people who will guide your organization next.

02

Health Center and Practice Transformation

Better care, built into the rhythm of the clinic's day.

Good care depends on workflows that make sense to the people doing the work. We help care teams improve quality without adding to their load.

• Practice facilitation and workflow redesign. Working side by side with care teams to redesign workflows, improve UDS and HEDIS quality measures, and cut unnecessary documentation.
• Proven improvement methods. Drawing on the IHI Model for Improvement, lessons from HRSA's Health Disparities Collaboratives, and Dartmouth Clinical Microsystems training to help teams test changes, learn quickly, and spread what works, paired with staff listening sessions so changes reduce burden instead of adding to it.
• Team roles that work together. Optimizing the roles of care managers, care coordinators, community health workers, and health coaches alongside primary care providers, so every member of the team works to their full strengths.
• Population health management. Using data and dashboards to track quality, find patients who need outreach, and guide improvement over time.
• Value-based care readiness. Preparing safety-net providers for alternative payment models and Med-QUEST quality benchmarks, so resources follow patient health and equity rather than visit volume.
• Recognition programs. Hands-on guidance for NCQA Patient-Centered Medical Home (PCMH) recognition and Age-Friendly Health Systems.
• Getting the most from technology. Making sure EHR tools, care plans, and reports help care teams instead of slowing them down, and choosing new tools that fit your team and budget.

03

Prevention, Chronic Disease, and Food is Medicine

Bridging primary care and community to support whole-person health.

Health is shaped by far more than what happens in the exam room. We help organizations connect care to the food, resources, and relationships that keep people well.

• Chronic disease programs, from design to daily practice. Implementing the Medicare Diabetes Prevention Program (MDPP), hypertension control, and chronic disease management programs, including redesigning care team roles and workflows so programs fit how clinics actually run.
• Food is medicine programs. Designing and launching produce prescriptions, clinic-to-farm partnerships, and medically tailored nutrition programs, with financing that can last.
• Social needs screening and referrals. Choosing and implementing SDOH screening tools in the EHR, with closed-loop referrals and warm handoffs that respect patient dignity.
• Culturally grounded prevention. Adapting evidence-based programs, like diabetes prevention and cancer screening, to fit the cultures and languages of the communities they serve.
• Community health workers and health coaches. Designing, training, and sustaining CHW, patient navigator, and health coaching programs that bridge clinic and home.
• Health education that connects. Materials written in plain language, for the communities they're meant to reach.

04

Strategy, Sustainability, and Systems Navigation

Clear direction, and a way to keep going.

Good programs struggle when the grant ends or policy shifts. We help you plan for the long run, so the work lasts.

• Strategic planning and theory of change. Practical three- to five-year plans tied to your real capacity and your community.
• Human-centered program design. Using design thinking to build new programs and services with the people who will use them, from first idea to pilot.
• Sustainability and financing. Building programs that outlast the grant by aligning them with insurance and payment, coverage and benefit options, and value-based arrangements.
• Policy navigation. Translating HRSA requirements, state Medicaid policy, and federal opportunities into practical strategy.
• Start-ups and network approaches. Launching new programs, organizations, and subsidiaries, and designing shared or network models so organizations can do together what's hard to do alone.
• Evaluation and learning. Building logic models and evaluation plans from the start, then using data analytics and qualitative analysis, from dashboards to interviews and focus groups, to show what's working, why, and what to adjust.

05

Facilitation, Convening, and Learning

Bringing people together, and helping them learn as they go.

• Coalition facilitation. A trusted, neutral facilitator who brings providers, agencies, payers, and community organizations together around shared goals.
• Listening sessions and community engagement. Town halls, listening sessions, and stakeholder input that shape real decisions.
• Training and learning collaboratives. Training series, health coaching training, and peer learning networks for every member of the health care team.
• Convenings and events. Designing conferences, summits, and retreats around what you want them to accomplish, with careful thought about how to engage your audience so people leave connected and ready to act.