Case 03 Decision design

Turning “How are we doing?” into leading indicators.

A COO needed an earlier view of how the month was likely to finish. Historical volume alone could not provide enough time to act.

Situation and why it mattered

The recurring question was simple: “How are we doing?” Existing answers leaned on historical volume and revenue-cycle reports, but leaders needed a forward-looking operating signal early enough to influence the month rather than explain it afterward.

The real question

Could leaders see early enough whether booking pace, recent visits, and cancellations pointed toward a strong or weak month?

Role and team context

I worked from the COO’s broad question, reframed the decision need, designed three business-specific signals, and brought them together in a red, yellow, and green stoplight that was quick to scan.

Approach

The view compared booking speed with the recent median for the same day of week, recent visit history with budget, and month-to-date cancellations with recent history. Thresholds reflected the nature of each measure rather than forcing one rule across all three.

Result and what changed

Operating leaders gained an earlier combined view of visits, cancellations, and booking pace. The design shifted the conversation from describing the recent past to recognizing current signals while there was still time to respond.

Evidence boundary

No quantified decision or financial outcome is documented. This case demonstrates problem framing and decision-product design rather than a financial-impact claim.

What was learned

Executive reporting becomes more useful when the measure, threshold, and visual treatment are designed around the decision, not around the data already easiest to retrieve.

A useful answer starts with the real question.

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