Experts in the art and science of improvement.
Advocates for equity
and inclusion.




The system isn’t broken, it’s working exactly as designed.
Shift weaves together the disciplines of improvement science and human-centered design into a powerful approach that’s effective for improving systems and processes across many contexts. We design with people, not for them, integrating the voices of the people most impacted by the improvement initiatives, to create more equitable outcomes and lasting solutions.
You likely have a vision for what success looks like. Supporting you on that journey is what inspires us every day.
Design & Innovation
We build alignment and excitement around your improvement initiatives using inclusive design processes. We work with your community to identify meaningful aims, a practical portfolio of measures, and impactful change ideas.
Coproduction & Community Power Building
Shift uses community organizing principles to engage your improvement team in continuous innovation and to build power and leadership to sustain change.
Building Improvement Capacity
Shift offers a range of standard and customizable trainings to help your organization learn and implement improvement methods.
Improvement Communities
Shift partners with organizations to design, facilitate, and scale improvement collaboratives and communities that bring together teams across organizations to work together toward shared goals.
Coaching & Facilitation
Shift skillfully guides your team through improvement initiatives, building on your strengths and finding opportunities to address your unique needs.
Improvement in Practice
Shift helps clients create a culture of learning to introduce, contextualize, and scale improvement within their communities and beyond.
Our clients have a lot in common:
Each of them is unique.
See improvement in action...
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Improving the health, wellbeing and safety of at-risk children and families.
Improving the health, wellbeing and safety of at-risk children and families.
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Dismantling structural inequality in schools so all students can thrive.
Dismantling structural inequality in schools so all students can thrive.
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Transforming regional healthcare for vulnerable populations.
Transforming regional healthcare for vulnerable populations.
What brought us together
sets us apart.
We are a community of improvers, advocates, creative thinkers, listeners and leaders. Our differences are our strength. Our shared values and principles nurture the work that we do, and fuel us to create meaningful change in the world.
shared commitment
inclusive approach
adaptability
We envision
a world where...
We’re ready to learn more,
are you?
Every improvement initiative begins with a conversation about current-state, approaches, timelines, budgets and more. Please reach out with your questions, we’d love to help you take the next step in realizing your vision.
In collaboration with our partners, we're improving...
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We’ll be creating new learning opportunities from time to time and sharing them here, as well as through our content partners.