Human services consulting · Massachusetts & New England

Lift what's possible.

A career human services executive turning your vision into funded, sustainable programs.

See how it works

The problem

Your organization has more vision than runway to realize it.

Sector knowledge, regulatory fluency, and relationships with the people who can say yes are what turn a good idea into a sustainable program. Without them, it stalls.

Does this sound familiar? ↓

Proof

What it looks like when it doesn't stall.

Program turnaround

A community independent living program was weeks from closure. Negative margin, no new referrals, dissatisfied staff and funders. Those weren't the problem: a flat structure and an underutilized electronic record system were choking communication with DDS and leaving documentation gaps. In under a year: positive margin, fully staffed, and the state's preferred referral destination for its most complex cases.

Regulatory exception

An individual with serious seizure disorder and autism had one private space, his bedroom, where staff were required to check on him near constantly. He reacted to a door opening. He didn't react to a camera. The obstacle was a regulation prohibiting video in resident bedrooms. Without an exception, DDS wouldn't fund a placement out of compliance with it, meaning he'd have to move. The argument that won the exception, made directly to the regional director I'd built trust with: a camera was demonstrably less intrusive than a person walking in.


Who makes this possible? ↓

Why me

Thirty years. Every level. No shortcuts.

Sector knowledge built through a career running PACE, IDD, and homeless programs.

Regulatory fluency built through a career navigating DDS, CARF, MassHealth, and CMS regulations.

Relationships built through thirty years in Massachusetts human services.

All these lead to the yes that gets a camera approved when the regulation said no.

About Al Frugoli ↗

How I work

An engagement starts with what your organization already has.

The goal isn't to install a system and leave. It's to build the measurement, relationships, and operational capacity that stays when the engagement ends — so your organization can keep making decisions from a position of clarity, not catch-up.

How an engagement works ↗

Ready to talk?

If any of this resonates, a conversation is the right next step.
No pitch deck. No proposal before we've spoken.

Get in touch