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Author. Strategist. Architect.
Author. Strategist. Architect.
“Systems should never forget the people they serve.”
“Systems should never forget the people they serve.”
Donna Harvin-Graham, MBA, PMP
Author | Strategist | Architect of Accountability™
I am an Author, Collaborator, and the Architect of Accountability™. My work is driven by a single core belief: that for equity to be more than a statement, it must be an operational reality.
I don't just advocate for change; I build the structures that sustain it. With an MBA and PMP certification, I bring a unique blend of financial rigor and project management discipline to social impact work. I translate the quiet realities of lived experience into the loud durability of structural change, designing frameworks that bridge the gap between good intentions and measurable, lasting impact.
Advocacy In Action
Equity requires evidence. Below are recent contributions to the public discourse—from op-eds to major initiatives—that demonstrate how we move from conversation to impact.
The Invisible Patient: A Strategic Gap Analysis of Rural Health Equity (2025) National Alliance on Ending Health Disparities (NAEHD) A strategic gap analysis investigating systemic barriers to rural healthcare access. Using mixed-methods triangulation, this report identifies critical "Invisible Barriers"—including the Digital Wall and the Transit Trap—and introduces the "Rural Access Check," a proprietary toolkit for health leaders to diagnose and remediate accessibility gaps.
A Tale of 2 Virginias: Celebrating Progress While Remembering Our Rural Neighbors (Dec 2025) Richmond Times-Dispatch (Syndicated Statewide) An op-ed exploring the healthcare infrastructure gap between metropolitan hubs and rural counties. This piece advocates for creative solutions—such as medical-grade transportation networks—to ensure that geography does not function as a pre-existing condition for rural residents. Syndicated in The Roanoke Times, The Daily Progress, and others.
Upcoming Manuscript: Open Source Digital Health Tools for Rare Disease (Under Peer Review) Co-Author with 4YouandMe (Chan Zuckerberg Initiative “Rare as One”) Contributed strategic guidance to a multi-partner study designing open-source digital health tools for rare disease communities. Project outcomes included the co-design of app development, pilot testing, and an open-source manual for future research into conditions like Long COVID and sarcoidosis.
Meet the Team
Teddi, Chief Happiness Officer
Teddi, Chief Happiness Officer
While I’m busy building the architecture of your accountability, Teddi is busy managing the architecture of our office morale. As my Chief Happiness Officer, she takes her job very seriously.
She is a passionate advocate for balance, often voicing her 'expert' opinions with a few enthusiastic barks whenever she thinks I’ve been at the desk too long. Teddi is a constant reminder that even the most focused work needs a little heart—and that sometimes, the best way to stay on track is to take a quick 'paws' for a tail wag.
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