Our Services
We intervene where inequity enters the pipeline.
Three integrated lines of work, each targeting a specific stage of the health pipeline — from the data a study collects to the outcomes a system produces.
I
Stages 01–02
Health Technology & Algorithm Equity
Intervenes at: Data Collection → Algorithm Design
Build health technologies that work across the populations they are meant to serve.
We help health technology companies identify bias before products reach clinical practice through population-centered algorithm evaluation, validation, and evidence-based design.
Population Health Audit
A systematic review of health technologies, AI diagnostics, and care management algorithms to identify where populations disappear from the evidence. We evaluate training data, proxy variables, subgroup performance, and outcome disparities before biased systems reach clinical practice. This is Mosaic’s signature methodology.
Health tech · AI diagnostics · EHR platforms · Care management systems
Representative Data Architecture
We design demographic data structures that reflect how people actually live, not overly broad racial or ethnic categories. From Hispanic national-origin subgroups to culturally meaningful identity variables, we help organizations build datasets capable of revealing meaningful population differences and generating more accurate health insights.
Research teams · Federal data programs · Health tech · Survey developers
Algorithm Validation Frameworks
We design validation frameworks that determine whether health technologies perform consistently across the populations they are intended to serve. Our work establishes subgroup testing strategies, performance thresholds, and evidence requirements before products reach clinical deployment.
Health tech · Digital health · AI developers · MedTech
II
Stages 01–03
Clinical Research & Evidence Infrastructure
Intervenes at: Data Collection → Algorithm Design → Clinical Implementation
Build evidence that reflects the populations it is meant to serve.
We build the research infrastructure needed to generate inclusive evidence, from study design through participant recruitment, implementation, and real-world evaluation.
Diverse Recruitment Strategy & Operations
We build and operate recruitment systems that reach populations traditional clinical research often misses. From IRB-compliant digital campaigns and REDCap infrastructure to funnel analytics, recruitment reporting, and operational playbooks, we manage the systems that make inclusive enrollment achievable.
Pharma sponsors · CROs · NIH-funded investigators · Academic medical centers
Community-Engaged Research Design
We help organizations move from building for communities to building with them. Using Community-Based Participatory Research (CBPR) principles, we engage communities as partners from the earliest stages of study and technology design rather than as stakeholders consulted after key decisions have already been made.
Research institutions · Health tech · Foundations · Pharma
IRB for Innovation
We adapt the discipline of public health research ethics into a governance framework for emerging health technologies and research initiatives. By bringing community safety review upstream, organizations can identify equity risks before implementation while strengthening trust, transparency, and regulatory readiness.
Digital health · MedTech · Health AI · Research organizations
Consent Process Redesign
We redesign informed consent materials and participant workflows so they are accessible across literacy levels, languages, and cultural contexts. The result is stronger participant understanding, more ethical engagement, and research processes that better reflect the populations they are intended to serve.
Clinical trial sponsors · Digital health · Research institutions
Real-World Evidence for Diverse Populations
We design studies that determine whether interventions, technologies, and models of care perform equitably across diverse populations. Our work spans protocol development, IRB strategy, data collection, subgroup analysis, and dissemination while aligning with evolving FDA Diversity Action Plans and CMS equity reporting expectations.
Pharma · Health tech · Health systems · Digital therapeutics
III
Stages 03–04
Health Systems Transformation & Implementation
Intervenes at: Clinical Implementation → Organizational Change → Patient Outcomes
Turn evidence into measurable organizational change.
We help health systems, public agencies, academic medical centers, and community organizations operationalize evidence through governance, accountability, implementation, and organizational transformation.
Implementation Governance & Executive Leadership
We design governance structures, leadership systems, and implementation roadmaps that translate strategic priorities into coordinated organizational action. Our work establishes the decision-making, accountability, and executive leadership infrastructure needed to sustain change.
Health systems · Academic medical centers · Public health agencies · Foundations
Performance Measurement & Accountability
We build performance measurement systems that make implementation visible and accountable. From KPI development and executive dashboards to reporting frameworks and progress monitoring, we help organizations measure what matters and use data to guide decision-making.
Health systems · Payers · Government agencies · Accreditation-seeking organizations
Organizational Capacity & Change Management
We strengthen the operational systems that support lasting organizational change. Through stakeholder engagement, communication structures, workforce development, committee design, and implementation support, we help organizations build the internal capacity needed to sustain transformation.
Health systems · Community health centers · Academic medical centers · Public health agencies
Sustainability & Strategic Advisory
We help organizations sustain implementation long after a strategic plan is approved. Through executive advisory, implementation monitoring, governance refinement, and long-term planning, we build the systems and leadership capacity needed for lasting impact.
Health systems · Foundations · Government agencies · Healthcare consortia
Ready to fix the
structural leak?
Let’s identify exactly where inequity is entering your pipeline — and build the evidence, infrastructure, and systems to stop it.