01 / practice
Services, scope, and where to start.
Impactful is a boutique professional services firm working with healthcare organizations, nonprofits, foundations, FQHCs, hospitals, and public sector teams. The work is bounded in scope, opinionated in approach, and grounded in evidence.
02 / where to start
Find your starting point.
Most engagements begin with one of four kinds of organization. Pick yours to see where to start, which services lead, and what an engagement typically looks like.
starting point
You're designing a new program, improving an existing one, or preparing for outcomes-based funding. You need to show a funder, a board, or your community that the program works.
what an engagement looks like
A scoped engagement to design or redesign a program (logic model, implementation plan, costed budget) and stand up the evaluation framework that proves it works (KPIs, indicator sets, funder-ready outcomes model).
mode
Project — typically 6 to 12 weeks. Sometimes followed by ongoing advisory as the program rolls out.
service signature
Digital Health, AI & Product Strategy
/decide
Healthcare Program & Service Design
/build · lead
Evaluation, Outcomes & Impact Infrastructure
/prove · lead
Strategic Planning & Advisory
/decide
03 / services
Four service lines.
/build
Healthcare Program & Service Design
Translating clinical, community, and population health evidence into programs that can actually be implemented and sustained.
- Needs assessments and evidence reviews
- Logic models and theory-of-change documents
- Service blueprints and operational design
- Implementation plans and workplans
- Fully costed program budgets
- Stakeholder mapping and engagement planning
- Grant-ready program models
best for
Nonprofits, FQHCs, foundations, community health organizations, and public sector teams.
deliverable
A complete program model with logic, blueprint, implementation plan, and budget. Ready to staff, fund, and run.
/decide /build
Digital Health, AI & Product Strategy
AI readiness, product strategy, and build, buy, or partner decisions for healthcare and public health teams thinking about digital tools or AI.
- AI readiness assessments
- Product and digital strategy
- Build, buy, or partner reviews
- Vendor and platform evaluation
- Digital health intervention design
- Research intelligence workflows
- Data and product governance
best for
Hospitals, health systems, nonprofits, FQHCs, foundations, and public sector teams evaluating digital health tools, considering AI, or deciding whether to build internally or partner.
deliverable
A written strategy memo or AI readiness assessment with a clear recommendation. Optionally, ongoing advisory while the decision moves from memo to action.
/prove
Evaluation, Outcomes & Impact Infrastructure
Measurement frameworks and reporting infrastructure that hold up to funders, investors, boards, and third-party reviewers.
- Outcomes measurement frameworks
- Evaluation plans (formative, process, and summative)
- KPI design and indicator sets
- Dashboards and reporting infrastructure
- Funder-ready outcomes models
- Independent program assessment
- Data infrastructure planning
best for
Nonprofits pursuing outcomes-based funding, programs preparing for third-party validation, foundations evaluating portfolios, and pay-for-success or value-based contracts.
deliverable
An evaluation plan or measurement framework that is operationalizable. Includes data infrastructure recommendations and reporting templates.
/decide
Strategic Planning & Advisory
Organizational strategy and partnership planning for healthcare organizations and public sector teams navigating transformation.
- Organizational strategic plans
- Hospital and community health planning
- Partnership strategy and assessment
- Intervention strategy
- Positioning and market analysis
- Decision memos for boards and executives
- Ongoing advisory engagements
best for
Hospitals, community health organizations, foundations, charities, and public sector teams at a strategic inflection point.
deliverable
A strategic plan, decision memo, or ongoing advisory relationship. Always written, always with a stated position.
04 / engagement
Three ways to engage.
mode 01
Project
duration4 to 12 weeks
cadenceFixed scope and timeline
best forA specific deliverable or decision
outputA logic model, evaluation plan, strategy document, or program design
mode 02
Fractional
duration3 to 12 months
cadence1 to 2 days a week, embedded
best forOrganizations in active build or transformation
outputEmbedded product, program, or strategy leadership
mode 03
Advisory
durationOngoing
cadenceMonthly or quarterly
best forFounders, executives, and boards needing senior thought partnership
outputRecurring strategy conversations and decision memos
05 / principles
How the firm operates.
- 01
Every engagement starts with a written scope. Every engagement ends with a written record of decisions and a tangible deliverable.
- 02
The work is opinionated. Clients are paying for a position, informed by evidence, not a process.
- 03
If you would be better served by another firm or specialist, I will say so directly. This often happens before the first paid hour.
06 / scope
What the firm takes on. And what it doesn't.
takes on
- Healthcare organizations, hospitals, and health systems
- Nonprofits and FQHCs designing or evaluating programs
- Foundations and impact investors funding health and social outcomes
- Public sector health and human services teams
- Community health organizations and charities
doesn't take on
- General management consulting
- Pure grant writing (grant-ready program design, yes)
- Executive or leadership coaching
- Brand and marketing strategy
- Pure technical implementation or build-out
- Work outside healthcare and public health
07 / principal
Led by Arushi Bhardwaj.
Arushi Bhardwaj
Toronto
A health product and impact strategist working across the clinical, population health, product, and outcomes layers of healthcare, without losing the thread between them.
She has built AI-native products from zero to one, designed and evaluated health programs at the population level, and worked across the community, clinical, and policy layers of Canadian healthcare.
previously
credentials
Executive Master of Health Informatics, University of Toronto. BSc Population & Quantitative Health Sciences. Health informatics and business analytics training.
For project, fractional, and advisory engagements.