4DX guides
4DX in healthcare: from Wildly Important Goal to weekly cadence
The Four Disciplines of Execution gives strategic goals a protected lane in the daily operational chaos of healthcare. Below: the primer, deep dives on lead vs lag measures, scoreboard design, and how to actually run weekly WIG sessions.

Start here
- Primer4DX: The Four Disciplines of ExecutionA practical 4DX primer for healthcare teams: one Wildly Important Goal, lead and lag measures, a scoreboard the team can read and a weekly WIG Session.
- Deep diveLead vs lag measure design: the discipline that makes 4DX workHow healthcare teams design 4DX lead measures that predict the lag: three tests every lead measure must pass, worked examples and the most common mistakes.
- Implementation guideLaunching 4DX on a single team: a 30-day implementation guideA 30-day plan to launch 4DX on one team: choosing the WIG, designing lead measures, building the scoreboard and running the first weekly WIG Sessions.
Put it into practice
Programs that turn this guidance into everyday work
4DX (Four Disciplines of Execution)Run WIGs, scoreboards and weekly WIG Sessions as a recurring program that keeps going after the launch workshop.Explore 4DX (Four Disciplines of Execution) →
Strategic PlanningCascade the system plan into site and department action plans, with progress rolling back up in real time.Explore Strategic Planning →
Deep dives
Focused guides on the parts of the practice that most often go wrong.
- 4DX scoreboard design patterns: making the team's status visible in five secondsHow to design a 4DX scoreboard a healthcare team can read in five seconds, why a scoreboard isn't a dashboard, and layouts that work on a unit wall.
- WIG vs OKR: how 4DX differs from OKRs (and when each is the right fit)How a 4DX Wildly Important Goal differs from OKRs, when each framework fits a healthcare team, and how organizations combine the two without double-stacking.
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