We first seek to understand the unique characteristics of the jurisdictions in which we work. Recognizing that existing systems are entrenched in complex legal, social, and structural dynamics, we take a holistic view of the community. We use formal and informal methods of collecting data to understand the needs of the communities with whom we partner. This includes conducting background research on the history of the jurisdiction, local ordinances, and state legislation; meeting with community and system stakeholders to gather multiple perspectives and observe local culture; and gathering relevant quantitative data.

Following the discovery phase, we use qualitative and quantitative techniques to better understand local data and systems. Depending on the project’s goals, this may result in identification of needs, gaps, and opportunities; cost benefit analysis; systems analysis; and legal and legislative analysis. Furthermore, we deliver the results of our analysis in digestible ways, maximizing value to those with whom we work and their communities.

We develop approaches and tools that are practical and useful to stakeholders while ensuring they are informed by an equity and inclusivity lens. We challenge the status quo and facilitate out-of-the-box thinking to overcome the strong inertia present in existing policy, structure, and culture. At this stage, we emphasize participation of multi-stakeholder work groups in creating innovative solutions that are informed by the voices of those who will be most directly impacted.

We work with sites to operationalize innovation. We apply our expertise in implementation science to assist sites in planning and executing visionary change, ensuring effective and sustainable transformation. Our careful consideration of key details like sequencing, timing, funding, communication, training, leadership development, and measurement and evaluation help ensure that process obstacles and are minimized in the operationalization of change.