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An operations program forteams facing
Does everyone know who decides what in the new operating model?
Usually not. The org chart changed, the habits did not, so decisions go to the old owners or to nobody. This program aligns roles, trust and decisions, in four one-hour team sessions.
Make it for your team
Execution readinessExample scores for a sample company. Add your website to estimate your own. Measured once your team plays. Ready at 80.
Where it usually breaks38Today81/ 100After the 4 team sessions
Ready to executeShared knowledgeHigh riskDifferent pictures of who owns which decision
Shared convictionHigh riskTeams see the change as a cost cut, not an improvement
Shared practiceMedium riskNo agreed path for decisions that cross teams
4 sessions~50 min each8–12 people per teamNo facilitatorSessions are built from your approved protocols and can go through clinical governance review before anyone plays. Your edits are locked.
The gap
What you'd typically hear if five of your people answered alone.
SESSION 1 · FILL THE GAPSAnswered alone
Finish the sentence: in the new model, a decision that affects two wards is made by…MMira…whoever spots the problem first.
JJonas…the central team. That is the point of the change.
AAylin…the two ward leads together.
TTomas…the same person who decided before.
RRosa…I don't know. Nobody has said.
What it costs you if nobody notices
Shared knowledgeDecisions go to the old ownersWithout a shared picture of the new roles, people ask the person they always asked.
Shared convictionThe new roles are resisted quietlyIf teams think the change is about cost, they comply on paper and protect their old territory.
Shared practiceCross-team decisions stallWithout an agreed path, the hardest decisions wait for the next steering meeting.
The program that closes the gap
Four one-hour sessions. Every one of your nurses and ward leads, the same picture of who decides, from day one.
Session
Shared knowledgeShared convictionShared practice
S1Know the new rolesAgrees who owns which decision, and what changed.
Shared knowledge1Agree who owns cross ward decisions2Apply the contain, sidewaysShared conviction3Decide how cross-ward decisions get madeShared practice4Agree the right response5Rehearse the exact moment a cross-ward problem lands on…
DemoS2Back the changeShows you whether your teams think the new model is better, and why not.
Shared knowledge1Nail down exactly who decides what when a problem crosses…Shared conviction2Decide whether the team genuinely backs the new decision model3Decide as a team whether you back the director's containShared practice4Agree, as a team, who owns5Rehearse the first moves of a cross ward handover problem
DemoS3Route the decisionPractises who decides in real situations that cross teams.
Shared knowledge1Quiz yourselves on who decides what when a problem crosses…Shared conviction2Decide who owns it when a problem crosses two wardsShared practice3Sort cross ward situations into the correct response step4Rank the priority order for handling a cross ward decision
DemoS4Escalate in the right orderAgrees the escalation path and when to skip a step.
Shared knowledge1Agree the exact order of steps when a decision crosses two…Shared conviction2Agree the escalation order for cross-ward decisionsShared practice3Agree the order of steps to take when a problem crosses…4Rehearse a two-ward escalation call
DemoPlay it yourself · a short demo · one exercise from session 3 · Get the Order Right
Alone first. Then the team agrees on one answer.
This is a taste, not the whole session. “Route the decision” runs 4 exercises with your own team, on a call or in a room. Here is one of them, on the real screens, played with four AI teammates, so you can feel how a session works.
Route the decision · Get the Order Right00:00MJLSYouRank the priority order for handling a cross ward decision, then test it against the director of nursing's viewOn screen: Rank from most to least urgent to act on the five steps when a problem affects two wards and a patient, alone
You are playing with 4 AI teammates. Every screen opens on its briefing: read it, then tap I’m ready.
Readiness intelligence · what you'll see as teams play
Know which of your teams are working in the new model, and where you should step in, before the old habits come back.
Acme Health › Readiness intelligence › New operating modelEvery one of your nurses and ward leads knows who decides what in the new model
Readiness index81%Ready+43 pts25% participation + 25% progress + 50% alignment · Ready at 80
Shared knowledge48 → 88Shared conviction37 → 71Shared practice44 → 80
Participation94%282 of 300 people played at least once
Progress75%3 of 4 planned sessions completed
Alignment41% →78%936 of 1200 points aligned
Failed alignment pointsWhere you should step in
Who owns cross-site decisionsNot aligned in 6 of 16 playsShared knowledgeYour regional leads · 18 people
Is the new model better for our patients, or just cheaper?"Not yet, we still have concerns" in 2 playsShared convictionYour longest-serving team · 22 people
Your nurses and ward leads could play this next week. Add your website to make it yours.
- 01 · 5 minConfirm the assumptionsCheck what we inferred about you and edit any text in place. Your edits are locked.
- 02 · 1 link per teamInvite your teamAny browser, any device. No account, nothing to install.
- 03 · after each playWatch readiness fill inYou see who played, what they agreed, and where to follow up.
Used by teams at
Free until you play live · ISO 27001 · EU data
Free until you play live · ISO 27001 · EU data