My work spans four interconnected areas,
often in combination.
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01 | Strategy & Theory of Change
Helping organizations and investors clarify what they're working toward and build the strategy to get there. Connects mission to action through strategic planning, theory of change development, and facilitated processes that bring stakeholders into genuine alignment, grounded in your values and honest about complexity.
Strategic planning · Theory of change · Partner alignment
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02 | Measurement, Evaluation & Learning
Rigorous evaluation and learning that helps you know what's working, why, and for whom. I help clients build systems for learning, analysis, and reporting that are useful and grounded in evidence and the values of the communities they serve.
Equitable evaluation · Mixed methods · Improvement Science · Systems change
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03 | Collaborative & Systems Change
Complex problems don't yield to single organizations working alone. I design and steward multi-sector partnerships, coalitions, and networks and facilitate the processes that help diverse actors move in the same direction towards a common goal and compound their results, learning as they go.
Collective impact · Network design · Multi-partner facilitation · Backbone support
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04 | Coaching, Teaching & Leadership Development
Working 1:1 with leaders and in small and large group settings to help individuals and organizations translate their values into practice, I support leaders in person and online to navigate complexity with clarity and care.
1:1 coaching · Facilitative leadership · Adult learning · Improvement coaching · Equity-centered practice
Bold ideas become real change only when they're grounded in values, guided by evidence, and led with genuine care for and with the people involved.
Selected Work
Current clients include nonprofits, foundations, and government agencies working with community partners across health care and social change.
My past work includes:
100 Million Healthier Lives
INSTITUTE FOR HEALTHCARE IMPROVEMENT · 2015–2024
A global initiative to advance health, well-being, and equity at population scale. Marianne led design, stewardship, and measurement infrastructure across 1,500+ member organizations and 30 countries — reaching more than 500 million people, raising $17 million, and training 9,000+ individuals in improvement methods. This was one of several major initiatives at IHI, where Marianne also led organizational measurement and evaluation, stewarded the population health and equity portfolio, and held faculty roles in the Improvement Coach Professional Development Program and IHI Scientific Symposium.
Well-Being in the Nation (WIN) Measurement Framework
PUBLISHED IN MILBANK QUARTERLY · 2020
A peer-reviewed, living library of equity-centered measures designed to support multi-sector collaboration on population health and social determinants. Co-led framework development with a cross-sector team, translating complex well-being research into practical measures usable by communities, health systems, investors, and policymakers. WIN Measures are a model for how rigorous measurement can be both scientifically credible and genuinely useful to practitioners and community members.
Improving Maternal & Child Health Outcomes at Scale
NATIONAL INSTITUTE FOR CHILDREN'S HEALTH QUALITY · 2009–2015
Six years leading 10+ initiatives — including a $9 million network across public and private partners to reduce infant mortality and a $6 million CDC-funded learning collaborative that increased breastfeeding rates in hospitals nationwide. Built the organization’s evaluation infrastructure and oversaw a 20-person team across two departments responsible for program design, delivery, and evaluation.
Strategic Planning & Evaluation of Complex Social Impact Initiatives
ORS IMPACT · 2024–2026
Senior Director leading large, complex consulting engagements for philanthropic and nonprofit clients across collective impact, democracy and power building, economic mobility, housing, and health. Helped clients clarify goals and strategy, design learning systems that would hold up under scrutiny, and build trusted partnership that make hard and complex work possible.