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. Built to navigate complexity, not avoid it.
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
No single organization can solve complex problems alone. I design and steward multi-sector partnerships and coalitions, facilitating the processes that help diverse actors align and compound their impact through ongoing learning.
Collective impact · Network design · Multi-partner facilitation · Backbone support
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04 | Coaching, Speaking, Teaching & Leadership Development
I work in small and large group settings and 1:1, both in person and online, helping leaders integrate relational and technical skills: rigorous strategy and measurement work alongside relationship-building and collaboration — knowing which to lead with, when. I also lead workshops and speak on these topics.
Coaching · Workshops · Speaking Engagements | 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
Clients include nonprofits, foundations, and government agencies working with community partners across health care and social change.
My current and past work includes:
Learning Partner: Building a Connected Community of Care for Older Adults Experiencing Homelessness
2025–Present, with HC2 Strategies
In the CCAHSAA Collaboratory, facilitated by HC2 Strategies and supported by the California Health Care Foundation, nearly 40 organizations across healthcare, housing, and community sectors in San Bernardino County, CA, are coordinating to serve older adults experiencing homelessness and persistent housing instability. The Collaboratory is creating a shift from isolated efforts to connected care.
Marianne leads measurement, evaluation, and learning for the Collaboratory, designing shared learning systems and co-leading the Data Intelligence Workgroup. She led development of the Theory of Change, provides measurement coaching to partners, translates data into actionable dashboards, and facilitates workshops helping organizations listen to older adults' needs, stay solution-focused, and strengthen cross-sector partnerships.
Strengthening Strategy and Impact for the Massachusetts Perinatal-Neonatal Quality Improvement Network (PNQIN)
May 2026–Present, in collaboration with MA Department of Public Health
PNQIN brings together a statewide network of hospitals and clinical, public health, and policy leaders working to improve outcomes and eliminate disparities for pregnant and postpartum people and newborns. Marianne is leading the development of PNQIN's next strategic plan, focusing on organizational structure, sustainable funding models, and data strategy to amplify PNQIN's influence and impact.
Through discovery interviews and small group facilitation, she is helping PNQIN ground decisions in the operational and funding models and data systems needed to achieve and sustain equitable outcomes and measurable impact statewide.
Strategic Planning & Evaluation For 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.
FEATURED PROJECT: Oporajita, a collective impact initiative in Bangladesh that works to improve well-being for women garment workers, reaching 5,000+ individuals across 20+ organizations. While at ORS, Marianne led the developmental evaluation and learning team.
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 (2015-2020).
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.