Implementation support, not just advice

We partner with health systems, community organizations, public agencies, and funders who are ready to move beyond strategy documents and into implementation. Our team brings experience across healthcare delivery, community practice, and systems change to design, test, and sustain improvements in real clinical and program settings.

who we serve

We support organizations working to:

• Implement patient-centered and community-centered care models
• Integrate behavioral health and primary care services
• Strengthen care coordination and patient follow-up
• Improve access and patient experience
• Advance quality improvement and performance initiatives
• Design and launch new clinical or community health programs

who we serve

How we work

  • We start with your context, goals, and constraints, and map the current state of practice.


  • We co-create changes with the people closest to the work and the communities you serve.

  • We pilot changes in real settings, learn quickly, and refine based on feedback and data.

  • We leave you with tools, processes, and capacity so the work can continue without us.

Bring in experienced practitioners to ground your initiatives, research, advisory roles, expert panels, speaking engagements, curriculum design, and policy consultation.

Transformation Sprints

what it looks like

Move a priority into action in 3–6 months. Transformation Sprints are focused, time-bound projects where we partner with your team to turn a specific strategy or mandate into reliable day-to-day practice.

These focused engagements help organizations move quickly from strategy to action by designing, testing, and implementing care delivery improvements that strengthen quality, access, and coordination.

Best For

Healthcare organizations and systems developing or strengthening new models of care, or seeking support to move strategic priorities from plan to implementation.

  • Assess current workflows, roles, and pain points

  • Co-design practice changes with frontline teams

  • Launch and support pilots at one or more sites

  • Provide weekly implementation coaching

  • Track simple measures of progress and impact

  • Deliver a clear roadmap for scale and sustainment

Embedded Implementation Support

What it Looks LIKe

Some initiatives need more than a sprint. Embedded Implementation Support gives you fractional leadership and hands-on capacity to drive complex or multi-site change.


Mangrove team members can embed with your organization to provide hands-on leadership and operational support during periods of transformation. We work alongside teams to translate strategy into real practice changes that improve care delivery and program performance.

BEST FOR

Some initiatives need more than a sprint. Embedded Implementation Support gives you fractional leadership and hands-on capacity to drive complex or multi-site change.


  • Serve as fractional implementation leads or project managers

  • Support day-to-day coordination across sites and teams

  • Facilitate implementation huddles and problem-solving

  • Coach leaders and managers on change management

  • Surface learning and risks for executives and funders

Technical Assistance & Learning Cohorts

what it looks like

We support healthcare organizations, foundations, public agencies, and multi-site initiatives by designing and facilitating learning collaboratives that help organizations implement and scale new care models.

Best For

Healthcare organizations, foundations, state agencies, and national initiatives seeking consistent support for multiple organizations working on related practice or systems change.


  • Design TA programs aligned with your goals and funding

  • Facilitate multi-organization learning cohorts

  • Provide coaching, office hours, and implementation support

  • Develop practical toolkits, templates, and resources

  • Capture and share learning through briefs and sessions

Care is the work of turning shared values into daily practice; systems change happens when what we believe about people is reflected in how we design, deliver, and sustain their care.