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Foggy Pier

Explore ALGardner Consulting

ALGardner Consulting offers a wide range of services--foresight, evaluation, and planning--to help your organization address complex problems and think strategically. We partner with our clients from start to finish, focusing on their unique needs while supporting organizational learning, developing effective strategies, and designing high quality and feasible solutions. 


Brainstorm to Success

Learning Consultant

Using evidenced-based research and evaluation capabilities to support planning and decision-making.  ALGardner Consulting develops strategies for achieving and sustaining program and policy outcomes.

Stone Tower


Expanding organizational capacity to anticipate and address critical issues looming on the horizon. We use smart tools and resources in order to understand the implications of emerging trends and navigate uncertainty.

hand motions

Thought Partner

 Two decades of collaborating with philanthropic and nonprofit leaders, policymakers, and public agencies to address complex problems. Engaging in effective communications and trainings to facilitate organizational learning.

Main: Services


Committed to Excellence in Foresight, Learning, Problem Solving, and Decision-making

At ALGardner Consulting, we understand that change is not always easy. Since 2004, we’ve been helping organizations of all sizes to thoughtfully and creatively respond to challenges and leverage opportunities. 

We are  ready to help you develop strategies for not only surviving, but thriving in the future. 

Main: Mission
Main: Partners

Partial List of  Partners and Engagement



  • Worked with Santa Clara County to evaluate its Transformation 2020 initiative to integrate Medi-Cal Waiver programs and services and achieve system transformation.

  • Worked with the Veterans Health Administration to assess the impact of a multi-year interprofessional primary care education program on trainees, patients, and VA facilities.           

  • Assessed and strengthened advocacy and policy change capacity of 18 California clinic associations funded by The California Endowment to achieve policy gains benefitting medically underserved populations.

  • Presentations and reports to policymakers, public agencies, grantees, foundations, and communities to improve access to health care and strengthen health are services.

  • Building the knowlege base and publishing in international, national, state, and local publications, including books, peer review journals, issue briefs, and technical publications.

  • Educator: Faculty at UCSF since 2007, conduct workshops and presentations on evaluation design, emerging models of care, and expanding foresight.

Recent Publications and Presentations

Implementing a team approach to patient-centered care--models that work.

This primer describes the current funding environment and factors that are shaping the future of community health centers.

Hear from decision-makers and evaluators on how to assess the effectiveness of your advocacy in a Webinar sponsored by the Society for Neuroscience and Research! America

Speaking to students and advocates on advoacacy and policy change evaluation at Stanford University (2017)

Main: Recent Publications

Ideal for evaluators, change makers, and funders, this is the authoritative guide to advocacy and policy change evaluation.


Main: About

Annette L Gardner, PhD, MPH

A broad thinker, I take a creative and collaborative approach to working with clients.  I am well-versed in supporting organizational foresight and learning, and working with stakeholders to use research and evaluation findings to strengthen programs and/or policies.


Trained as a Political Scientist, my research and evaluation interests include: support implementation of health care reform, strengthen the health care safety net, build healthy communities, and advance evaluation of advocacy and policy change initiatives. I have worked with international, national, state and local organiations in the nonprofit, government, and education arenas. 

I use a variety of qualitative research methods, including case studies, focus groups, surveys, observations, and informant interviews, as well as quantitative methods such as financial analyses and descriptive statistics. I have expertise in teaching and applying planning and futures studies approaches in communities, organizations, and schools.

Service and social betterment are guiding principles of my practice, ranging from serving as a Peace Corps volunteer in Benin, West Africa to a faculty member in the School of Medicine and the School of Nursing at the University of California, San Francisco.

Main: Contact

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