Integrated Health Across
Care, Community, & Systems
ALIGNING BIOLOGICAL INSIGHT, CARE DELIVERY DESIGN, COMMUNITY CONDITIONS,
WORKFORCE CAPACITY, GOVERNANCE, AND FINANCING.
Advancing prevention and improving outcomes in mental health, chronic disease,
and high-complexity populations for durable system performance.
WORKFORCE CAPACITY, GOVERNANCE, AND FINANCING.
Advancing prevention and improving outcomes in mental health, chronic disease,
and high-complexity populations for durable system performance.
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How Health Outcomes Are Shaped
Several interacting forces are involved:
Each operates along a spectrum of strength and constraint. In some settings, one factor is the primary limiting condition. In others, progress depends on how several forces interact. |
When these forces are poorly understood, fragmented, or misaligned, progress slows and promising initiatives struggle to scale. When they are strengthened and aligned thoughtfully to the scope of the challenge, change becomes durable.
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Not every organization requires full system redesign. Some need to strengthen a specific initiative, service line, or population strategy. Others require coordination across multiple environments, partners, or geographies.
The work is not about complexity for its own sake. It is about understanding these forces and aligning them in service of measurable progress.
The work is not about complexity for its own sake. It is about understanding these forces and aligning them in service of measurable progress.
What We Do
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We partner with healthcare systems, nonprofit and advocacy organizations, and policy leaders to strengthen prevention and improve outcomes in mental health, chronic disease, and rare or high-complexity conditions.
Our work translates vision into operational architecture, aligning governance, care delivery, biological insight, workforce realities, and financing structures so initiatives are proportionate, measurable, and built to endure. Durable systems ultimately determine whether individuals and families experience stability, dignity, and forward momentum in their daily lives. |
Engagements are shaped by organizational goals and readiness. The aim is consistent: translate insight into structured action that can be implemented, measured, and sustained.
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Outlined below are examples of capabilities we help our clients address and what it often looks like in practice.
How We Engage
We work alongside executive leaders, initiative stewards, and cross-sector partners to bring clarity, structure, and forward momentum to strategic initiatives. Engagements range from focused initiative design to broader coordination across environments. In some cases, that includes time-bound embedded leadership or fractional strategic support to move implementation forward.
We work comfortably within politically and financially complex environments, aligning ambition with operational and governance realities.
Sometimes that means strengthening what already exists. Sometimes it means rethinking the model itself.
We work comfortably within politically and financially complex environments, aligning ambition with operational and governance realities.
Sometimes that means strengthening what already exists. Sometimes it means rethinking the model itself.
When Organizations Typically Engage
Organizations often reach out when one or more of the following conditions are present.
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Strategic Direction & Alignment
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Systems Coordination & Infrastructure
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Pilot Development & Implementation
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Engagement Structure
Engagements are shaped by organizational goals and readiness. The aim is consistent: translating strategy into structured action that can be implemented, measured, and sustained.
Engagements may include focused design sprints (8–10 weeks), pilot architecture and launch (4–6 months), or a structured fractional strategy director engagement (typically 6–12 months, 8–15 hours per week), embedding within initiatives to align governance, operational execution, and measurable learning during critical build or launch phases.
Engagements may include focused design sprints (8–10 weeks), pilot architecture and launch (4–6 months), or a structured fractional strategy director engagement (typically 6–12 months, 8–15 hours per week), embedding within initiatives to align governance, operational execution, and measurable learning during critical build or launch phases.
Selected System Initiatives & Strategic Contributions
These examples reflect the range of work, from exploratory initiatives to long-term infrastructure, designed and stewarded across care, community, and policy settings.
North American Rare Disease Clinical & Research Network
PCD Foundation, 60+ major academic medical centers
PCD Foundation, 60+ major academic medical centers
Led the launch and played a key role in scaling a 60+ site accredited clinical and research network across the United States, Canada, and Puerto Rico. Led a cross-functional team alongside clinical leaders to establish diagnostic and treatment center standards, specialist collaboration pathways, and institutional participation structures modeled in part on the Cystic Fibrosis Care Center model. The network expanded access to concentrated expertise and strengthened coordinated specialty engagement and research readiness.
Rare Disease Data Ecosystem
PCD Foundation, IQVIA
PCD Foundation, IQVIA
Led the development and scaling of a multi-site registry and data ecosystem in partnership with clinical leaders and Prometheus Research (later acquired by IQVIA). Negotiated and executed institutional participation agreements and data contracts, aligning governance, data ownership, compliance, and cross-institutional workflows to support standardized data collection, research operations, and long-term infrastructure for therapeutic development across 45 sites.
Machine Learning Pilot for Rare Disease Diagnosis
CZI, Komodo Health, Datavant
CZI, Komodo Health, Datavant
Partnered with Chan Zuckerberg Initiative (CZI), Komodo Health, and Datavant to support the design of a machine-learning initiative integrating registry and national claims data to improve rare disease identification. Using primary ciliary dyskinesia (PCD) as a proving ground, the model demonstrated the feasibility of screening for a significantly underdiagnosed condition in the absence of an ICD code. Findings were published in Orphanet Journal of Rare Diseases, and the work advanced to Phase 2 under Stanford Healthcare leadership.
Acute Suicidality Framework & Implementation Architecture
Healthier Colorado
Healthier Colorado
Led a follow-on engagement to translate a statewide summit and issue paper authored by Healthier Colorado into a 7-Pillar ecosystem-informed implementation framework. Designed school- and hospital-based pilot models to integrate emerging acute suicidality science into real-world systems, aligning stakeholders, evaluation metrics, and scale pathways within a structure adaptable to broader mental health initiatives.
Health Capacity & Agency Architecture
WellSelf 360
WellSelf 360
Designed a modular health capacity and agency architecture, grounded in the WellSelf 360™ framework, to help individuals and systems identify early biological and behavioral signals before clinical instability emerges. The model supports trend detection and stratification across prevention and chronic condition settings by integrating symptom patterns, behavioral regulation, contextual capacity constraints, and optional biomarker inputs to guide more proactive intervention and sustained engagement.
Population Health & Workforce Wellbeing Solution Design
Wellview Health - Now First Stop Health
Wellview Health - Now First Stop Health
Led enterprise strategy for a self-insured employer as the inaugural client, aligning technology development, services, and operational execution within an employer-sponsored population health model. Designed and operationalized the platform and implementation framework concurrently, supporting workforce adoption across 12,000 covered lives.
Explore Partnership
If your organization is refining an initiative, operationalizing recommendations, aligning stakeholders, or exploring new models for long-term progress, we welcome the opportunity to explore alignment.
Some of the most important work begins with ideas not yet ready for a board deck or questions that deserve space, rigor, and disciplined exploration.
Clarity often begins with one good conversation.
Some of the most important work begins with ideas not yet ready for a board deck or questions that deserve space, rigor, and disciplined exploration.
Clarity often begins with one good conversation.