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Turning insight into messaging and messaging into impact

How we work

We offer flexible, right-sized teams for complex work, scaling expertise to match the moment.  


Some projects are led by one consultant. Others use a small collaborative team. Either way, clients have one clear lead, shared standards, and a practical scope. 

Meet our team

The Confluence Approach: Our Six Step Watershed Process

1.  Source
We work with clients to clarify decisions, define success, identify risks, and ensure the right mix of audiences are engaged at the outset of the process.


2. Tributaries 

We learn what is true by pairing low-burden engagement with operational analysis to understand how people are experiencing processes. Using mixed-method assessments, we uncover the realities of the current state

. 

3. Confluence 

We co-design practical solutions by bringing ideas and people together in  structured spaces. Together we test ideas, refine options, and ensure solutions work in the realities of practice.


4.  Depth
We make sense of root causes and patterns, and translate evidence into decision-ready tools. We turn findings into a decision brief, clear recommendations, and an actionable framework that leaders and teams can use consistently. 


5. Channelling

We provide direction decisions by supporting change in ways people can act on. We build clear communications and practical implementation supports that reduce confusion, resistance, and rework. 


6. Flow

We translate insights into action and impact, then measure, adjust, and close the loop.  By using practical evaluation to measure outcomes, we share findings in clear, accessible ways to inform ongoing systems improvement.

What you can expect

  • clear scope, roles, and decision points from day one 
  • one lead and a right-sized team 
  • thoughtful questions 
  • ethical and practical engagement 
  • facilitation that can hold complexity and still move work forward 
  • plain-language materials that leaders, boards, funders, teams, and communities can use 
  • practical outputs, not unnecessary complexity 
  • honest guidance 
  • momentum without overbuilding 

Typical starting point

Most projects begin with a short discovery phase.


This helps clarify the work, identify risks and opportunities, and determine the right level of support.


From there, Confluence can provide communication, engagement, facilitation, implementation, evaluation, or reporting support as needed.

Let's Talk

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  • Dr. Natalie Montgomery
  • Dr. Elena Gallitto
  • Abby McIntyre
  • Dr. Reham Abdelhalim
  • Josée Wright

Confluence Health Communication

Serving Canada with offices in Ottawa, Leeds & Grenville, Burlington and Thunder Bay

613-898-3605

Copyright © 2026 Confluence Health Communication - All Rights Reserved.

 

Gas Graphics Andrew Sommerfeld

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