Building a Health Equity Performance System at Scale

Client: National healthcare organization

Focus: Strategy, Performance, and Equity Integration

Case study 01

HIGH IMPACT RESULT

Transformed a fragmented health equity portfolio into a focused, measurable system, reducing 75 indicators to 15 and embedding enterprise-wide accountability.

The Challenge


A newly established health equity function had ambitious goals but lacked the operational infrastructure to turn intent into impact.

  • Lack of prioritization across initiatives

  • Inconsistent measurement of outcomes

  • Equity was stated, but not yet embedded in team structures or evaluations

The Outcome (So What)


Created clarity, focus, and accountability across the health equity function.

  • Enabled leadership to make data-driven decisions tied to real outcomes.

  • Shifted equity from a stated priority to a measurable, operationalized system.

  • Ensured every team member understood how their work contributed to impact.

THE MANIMA FRAMEWORK

Approach & Execution

01 Why

Defined health equity operationally by clarifying priority populations. Aligned leadership around measurable impact rather than just activity volume.

02How

Designed a performance management system with cloud-based data infrastructure. Streamlined fragmented initiatives into coordinated workstreams.

03 What

Defined health equity operationally by clarifying priority populations. Aligned leadership around measurable impact rather than just activity volume.