Restricted accessResearch articleFirst published online 2026
“It's Hard to Show ROI When You’re Preventing Things from Happening”: How Impact Storytelling Frames Community Health Initiatives for Executive Audiences
Community health practitioners face a common challenge of communicating the value of their work because it is intentionally designed to prevent health issues from happening. This case study examines how impact storytelling—a four-question framework developed by a community health manager at a nonprofit health system—mediates between technical expertise and executive's understanding. Through interviews with four Community Health practitioners, this research explains how the framework addresses specific technical communication challenges. This research brings together theory with practice by offering both a transferable framework for nonprofit organizations as well as theoretical insights into how workplace communication tools emerge from workplace practices.
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