Make Rapid Progress on What Matters Most
When critical problems persist despite everyone’s best efforts, the issue is structural, not personal. We resolve these situations quickly and get things moving again.
No comprehensive decks. Decision-ready artifacts instead of reports.
No scope creep. Fixed fees, clear deliverables, explicit timelines.
No dependency. Building your capability, not ours.
What's your primary challenge?
Select the issue that's consuming the most leadership bandwidth
A Different Way Forward
We focus on decision-making processes and organizational capability—not comprehensive reports that gather dust.
Frame the Problem
Co-author the real problem, decision boundaries, and stakeholders before jumping to solutions.
Build Shared Facts
Establish a minimum dataset everyone trusts. Joint fact-finding beats premature solutions.
Design Decisions
Map options, trade-offs, and owners. Make the implicit explicit with clear accountability.
Ship & Learn
Run short cycles, measure outcomes, adjust course. Fast feedback prevents drift.
Ready to Move Forward?
Start with a conversation. No pitch, no obligation. Just a practical discussion about what's actually blocking progress.
Serving hospitals, health systems, and healthcare organizations across Washington State