Where proven expertise comes together to drive health system change

When research, engagement, evaluation, or lived experience findings need to become usable.

Confluence helps organizations make sense of what they are learning, identify what matters most, and translate insight into practical recommendations, communication, and next steps.

Work may include:

• environmental and system scans 
• qualitative and quantitative inquiry and analysis 
• participatory and community-based research
• thematic synthesis 
• evaluation frameworks 
• findings summaries and reporting 
• practical recommendations 
• decision-ready briefs 
• impact and learning summaries

When engagement needs to do more than gather input.

Confluence designs and facilitates engagement processes that help organizations understand experiences, identify barriers and opportunities, and shape more informed decisions.

We work with patients, families, caregivers, providers, clinicians, staff, partners, and communities using approaches that are thoughtful, practical, and grounded in real-world conditions.

Work may include:

• engagement planning 
• facilitation and co-design 
• interviews, focus groups, forums  
• discussion and facilitation guides 
• community and provider engagement 
• engagement synthesis and theme summaries 
• participatory and collaborative approaches 
• trauma and culturally informed facilitation

When programs, partnerships, pathways, services, or system changes need to be clearly understood and supported.

Confluence helps organizations create communication that builds shared understanding across audiences and supports implementation, adoption, and trust.

Work may include:

• communication strategies and plans 
• messaging frameworks 
• implementation communication 
• audience-specific communication tools 
• briefing materials and reports 
• plain-language content 
• advocacy and funding communication 
• toolkits and communication resources

When organizations need practical support to move work from planning into action.

Confluence helps leaders and teams strengthen alignment, support implementation, build internal capacity, and create conditions for long-term sustainability.

Work may include, 

• strategic planning facilitation 
• implementation roadmaps 
• change and adoption support 
• workshops and retreats 
• leadership and team facilitation 
• workflow and process mapping 
• training materials and learning tools 
• sustainability and transition planning