Implementation Playbook

Turn the decision into 90 days of governed execution.

A readiness score is only useful when it changes what leaders do next. This playbook helps healthcare teams convert a fund, pilot, scale, repair or redesign decision into staged execution with owners, risks, adoption work and benefits discipline.

Open 90-day planDecision JournalReadiness Assessment
30 / 60 / 90

Implementation playbook

Days 1-30: Align and design

  • Confirm sponsor and decision rights.
  • Review readiness result and Decision Journal.
  • Map current workflow, exceptions and handoffs.
  • Name clinical, operational, technical and adoption owners.
  • Define baseline KPIs and success criteria.
  • Create risk register and first governance cadence.

Days 31-60: Build and pilot

  • Translate workflow into operating model and system requirements.
  • Prepare role-based training and support routes.
  • Run controlled pilot or repair sprint.
  • Track adoption risks and operational issues weekly.
  • Validate reporting definitions and data quality.
  • Escalate blockers through the sponsor route.

Days 61-90: Review and decide

  • Compare pilot evidence against success criteria.
  • Review adoption, workflow, data and benefits signals.
  • Decide whether to scale, repair, redesign or stop.
  • Update Decision Journal with evidence and assumptions.
  • Define next-stage governance and resourcing.
  • Convert lessons learned into case-study evidence.
Governance gates

Stage gates that protect the initiative

Gate 1: Ready to pilot?Sponsor, workflow, owners, risks, KPIs and adoption plan are clear enough to test.
Gate 2: Ready to scale?Pilot evidence shows adoption, operational fit, data trust and measurable value.
Gate 3: Needs repair?Weak dimensions are specific, owned and repairable within a defined sprint.
Gate 4: Needs redesign or stop?The operating model, ownership or value case is too weak to justify continued scale.
Executive outputs

What leaders should have by day 90

Decision record

Why the initiative moved forward, changed direction or stopped.

Operating model

Owners, workflows, gates, escalation and adoption responsibilities.

Benefits evidence

Baseline, early signals, KPIs and next-stage value assumptions.

Case-study material

Lessons learned, decisions and evidence that can strengthen trust.

Next step

Use this after the readiness assessment.

The best sequence is: assess readiness, record the decision, execute the 90-day playbook, then review benefits and evidence before scaling.

Run readiness assessmentOpen Decision JournalExecutive Conversation Kit