Strategic Design For Living Systems
Cense helps health-seeking leaders navigate complexity by integrating behavioural science, systems thinking, and strategic design to create sustainable change that serves both people and systems.
You’re Leading Through Unprecedented Challenges
Health system leaders across Canada are facing impossible choices: workforce shortages, system restructuring, financial constraints, and growing equity demands—all while maintaining quality care and staff wellbeing.
You need more than traditional consulting. You need strategic design that works in complexity.
How We Help You Move From Reactive to Adaptive Leadership
Strategy That Works in Crisis
We help you develop actionable plans that account for uncertainty, resource constraints, and stakeholder complexity—not perfect-world scenarios. Instead, we give you what works and what helps you survive and thrive in complexity.
Systems Change That Sticks
Using behavioural psychology and systems thinking, we design interventions that create lasting change in how your organization learns, adapts, and delivers care.
Evidence You Can Act On
Our design-driven developmental evaluation approach generates real-time insights that help you course-correct quickly and demonstrate impact to stakeholders. We build learning systems, not traditional accountability plans.
Leadership Support When You Need It Most
We provide coaching and facilitation that helps you navigate ethical and logistical tensions, build resilient teams, and maintain your vision amid daily “firefighting.” We create systems that keep you focused while supporting the well-being of you and your teams in delivering positive health impact.
The Complete Cycle of Organizational Excellence
Strategy Clarification → Actionable Planning → Service Design → Implementation Support → Learning & Adaptation → Measurable Impact
We will guide you through each phase with tools grounded in complexity science, ensuring sustainable change that serves both your people and your systems—organizational, network, client, and partner.
Ready to Transform How You Lead Through Complexity?
Health system transformation requires leaders who can hold both the urgent and the essential. We do that with you. Let’s design your path forward.
“Strategic design for leaders who refuse to choose between people and performance.”
Our Service Lines
We bring over 25 years of experience in healthcare, public health, health services, social innovation and evaluation.
Whether you’re building strategy, leading transformation, or cultivating innovation, we offer practical tools, training, and insights that come through strategic design. Our Credentialed Evaluation services support the evidence you need to demonstrate impact and learn. We bring it all together.
Want to learn more? Click the button below to book your free, no-obligation consultation to discuss your challenges and needs.
Learn and Listen
Explore our services to learn how we can support your work, and subscribe to our learning resources to stay inspired. Visit our blog and Censemaking for insights on strategic design for innovation and impact. Learn even more by listening to Cense’s profile on the Deep Dive interview.
