Consulting

When your company has out‑grown the way it operates

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How we start

I start inside your organization, with the people who run it.

Every engagement begins the same way. One to two weeks inside your organization, talking with the people doing the work and the leaders running it. Three things come out of those weeks.

What your team is experiencing
From the people doing the work, not the org chart. This is usually where the surprises are.
Where the work is getting stuck
The handoffs and decisions where work stalls, and what each one costs in revenue, hours, and people.
What to fix first
The wins you can take in the next thirty days, and the order to take them in.

How it works

Five steps from first conversation to a standard that holds.

  1. 01AssessWhere the company is stuck and what it is costing you.
  2. 02AlignOne direction, one set of priorities.
  3. 03TransferDecisions move to your leaders.
  4. 04DevelopManagers hold the standard.
  5. 05SustainIt holds without me.

What changes

Your leaders stop escalating and start deciding.

  • Your patients and customers get the same high standard no matter who on your team they work with, so you grow without friction.
  • Your team knows where the company is going and where they fit in it, so they stay.
  • You stay out of the day to day and focused on what is next.

Under her leadership, we observed a notable increase in the quality and consistency of intraoperative monitoring services, even amidst significant organizational growth.

Rajiv Sethi, MD, Chief of Orthopaedic Spine Surgery, UCSF Rajiv Sethi, MD Chief of Orthopaedic Spine Surgery, UCSF

Start with a conversation.

Thirty minutes, no obligation. Bring the problem that keeps coming back.

Book an introductory call →