Practice Areas
What We Do At Gibbous
We help mission-driven organizations tackle complex challenges, the kind with lots of stakeholders, real constraints, and no easy path forward. Our work is strategy-led and execution-minded: we bring structure to ambiguity, use data to test assumptions, and build practical plans that teams can actually deliver. Whether you’re modernizing technology, redesigning operations, or strengthening governance, we’re here to help you move from “this feels messy” to “this is manageable.”
Strategy & Strategic Planning
When the path forward isn’t obvious, we help organizations find clarity fast and turn it into a plan that holds up in the real world. We work with leaders to define outcomes, surface tradeoffs, and prioritize what matters most. The result is a strategy that’s actionable: clear direction, measurable goals, and a roadmap that aligns people, timelines, and resources.
HERE ARE SOME RECENT PROJECTS
MA Trial Court
Supported the MA Trial Court in developing multiple strategic plans and a $164M IT capital plan to modernize court operations and improve the experience of court users across the Commonwealth
Massachusetts Department of Agriculture (APR)
Partnered with MDAR to develop a clear, actionable strategic plan to strengthen the Agricultural Preservation Restriction program and align priorities, governance, and operations with the Commonwealth’s Farmland Action Plan
NAFI
Connecticut/Rhode Island/New York
Partnered with NAFI to develop a comprehensive strategic plan that aligned a rapidly growing organization around a shared vision, clear priorities, and an actionable roadmap
Technology Strategy, IT Planning & Modernization
Technology works best when it’s grounded in mission, operations, and user needs. We help clients assess current systems, define a future-state vision, and make smart decisions about what to modernize, replace, or strengthen. From IT planning and procurement readiness to integration, cloud transitions, and security considerations, we stay practical, focused on building resilient systems and setting teams up for long-term success.
HERE ARE SOME RECENT PROJECTS
Steamship Authority IT Assessment
Led a comprehensive IT assessment and multi-phase modernization roadmap to reduce risk and replace mission-critical legacy systems
Town of Tisbury
Starting in late 2024, Gibbous partnered with the Town of Tisbury to assess its IT environment, develop a five-year strategic plan, and support implementation through policy development and a website launch
MA Department of Public Health SAS Enterprise Implementation
Supported MA DPH in migrating programs across the agency to a single enterprise SAS platform through governance design, phased implementation, and change management
Implementation & Delivery Oversight
Big change needs steady coordination. We step in as a hands-on partner to keep complex efforts moving, aligning teams and vendors, tracking milestones, managing risks, and maintaining transparency across decisions. We support the full delivery cycle: configuration and documentation, testing and cutover planning, training coordination, issue resolution, and go-live readiness, with a focus on clear ownership, visible progress, and fewer surprises.
HERE ARE SOME RECENT PROJECTS
MA DPH Prescription Monitoring Program
Supported system design, stakeholder engagement, and implementation of a statewide Prescription Monitoring Program (PMP) to reduce opioid misuse and improve prescriber adoption
Massachusetts Early Intervention Program
Provided hands-on delivery support to guide a multi-year transformation of a statewide Early Intervention system and operations serving 50,000 children
Chelsea and Holyoke Soldiers’ Homes Technology Transformation
Supported delivery of a complex technology transformation to modernize care delivery, align with CMS requirements, and implement interoperable clinical and business systems
Data Strategy, Analytics & Governance
Data is only useful if people trust it and can act on it. We help organizations build the foundations for data-driven decision-making: governance structures, clear definitions, prioritization workflows, and quality controls. Then we translate it into practical tools like reporting strategies, dashboards, data dictionaries, and performance measures that support day-to-day operations and leadership decisions.
HERE ARE SOME RECENT PROJECTS
Massachusetts Department of Health Information Tool
Supported strategic planning, governance, and analytics delivery to relaunch PHIT as a trusted statewide source for population health data
MA Department of Mental Health - Data and Governance Support
Strengthened enterprise data governance, prioritization workflows, and coordination to support more transparent, data-driven decision-making
MECCS Systems Building Support, GIS Analysis, and ASQ Technology Review
Developed shared outcome indicators and GIS analyses to support data-driven collective impact and community-level action
Operational Improvement & Performance
If a process is frustrating internally, it’s usually worse for the people trying to access the service. We help teams understand how work really happens, identify what’s getting in the way, and redesign processes so they’re simpler, clearer, and more consistent. Our approach blends operational assessment with performance improvement, using evidence, feedback, and measurable actions to drive meaningful change over time.
HERE ARE SOME RECENT PROJECTS
Delaware WIC Breastfeeding Performance
Improvement Project
Supported long-term performance improvement using metrics, peer learning, and continuous feedback to increase breastfeeding outcomes statewide
MA Autism Spectrum Disorder (ASD) Diagnosis Barriers
Identified workforce and system barriers to timely ASD diagnosis through provider interviews and family-centered qualitative research
Delaware or Vermont Veterans’ Homes
Completed an operational, governance, and regulatory assessment to benchmark performance and guide improvement across care delivery
Conducted a comprehensive market and needs assessment to inform strategic planning for future veteran care delivery and site development
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Access, Equity & Service Experience
We partner with organizations that want to remove barriers and improve how people experience services across health, legal, education, and more. That means designing around real user needs, navigating regulatory realities, and making improvements that strengthen fairness, dignity, and outcomes, especially for communities that are too often left behind.
HERE ARE SOME RECENT PROJECTS
MDAR Agricultural Workforce Strategy and Climate Readiness
Developed a statewide workforce strategy to strengthen career pathways and expand equitable access to climate-resilient agricultural careers
Ohio Legal Assistance Foundation/ Ohio Legal Help
Supported planning, implementation, and long-term strategy for a statewide legal access portal designed around user needs and equity
MA WIC Workforce Assessment
Conducted a comprehensive workforce assessment to identify staffing, training, and recruitment strategies to improve access to WIC services for families across Massachusetts, including geographically isolated communities​
HOW WE WORK
We’re at our best where the problem is complex, and the path forward isn’t clear. Our approach is hypotheses-driven (we start with what we think might be happening and test it) and data-driven (we use evidence to focus effort where it matters most). Practically, that means we:
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Get aligned on outcomes and constraints early
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Map the current reality (people, process, technology, data)
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Identify root causes and hypotheses
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Build a roadmap with decisions, owners, and timelines
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Stay close through delivery so the plan becomes real