We've already been through 4DX training. Do we have to start over?

No. Bring the WIGs, lead measures and scoreboards your teams already have. ImprovementFlow gives them a place to run each week, so the work from the workshop keeps going.

Can the scoreboard go on a screen on the unit?

Yes. A display version of the scoreboard is built for wall-mounted screens in care areas. It's read-only, refreshes on its own and uses large type.

We run several teams on 4DX. Can we manage them together?

Yes. Define your 4DX program once, then give each facility or team its own copy with its own roster, WIG and cycle. Single-team WIGs and cascades from organizational to department to team WIGs are both supported.

We also use OKRs. Do they conflict?

They can work together. A team-level WIG can be linked to a parent OKR key result, so the team's weekly cadence becomes the way that key result gets done. Cycle lengths can follow the 4DX default, your quarters or a custom length.

Is ImprovementFlow affiliated with FranklinCovey?

4DX was developed by Chris McChesney, Sean Covey and Jim Huling and came out of FranklinCovey's consulting practice. ImprovementFlow is the system your teams use to run the disciplines every week, alongside whatever training or coaching you already use.

HIPAA compliance, a BAA and SSO are included in every package.

ImprovementFlow · Improvement Work

Keep your weekly WIG Sessions going long after the launch workshop

Run the Four Disciplines of Execution as a recurring program, not a one-time workshop. Each team's Wildly Important Goal, lead and lag measures, scoreboard and weekly commitments live in one place, so the cadence of accountability doesn't depend on one leader's willpower.

Request a Demo See how a 4DX cycle runs

A nurse manager stands beside a wall-mounted screen showing a climbing line chart and weekly bar charts while her unit team, in scrubs, discusses their commitments for the week

Sound familiar?

What we hear from WIG champions and 4DX sponsors using standard approaches

Common frustrations with the usual tools and workarounds — the gaps ImprovementFlow is built to close.

We left the workshop with a WIG and a scoreboard. By week five the WIG Session had been folded into the staff meeting.

The framework is sound. What breaks is the weekly cadence, the first time the unit gets busy.

Every week people commit to “work on discharges.” Nothing is ever kept, and nothing is ever missed.

Vague commitments can't be reported on, so the accountability in the fourth discipline quietly disappears.

I sponsor WIGs on several units. I find out one has stopped when the quarter is over.

Scoreboards live in separate spreadsheets and slide decks, so sponsors can't see which teams are still running the cadence.

How it works

One 4DX cycle, from WIG to kept commitments

The four disciplines stay exactly as your teams learned them. ImprovementFlow carries the structure, so the team leader can focus on the conversation.

1
Define your 4DX program once
Set up the template centrally, then give each unit or team its own copy. Every 90-day push runs as a tracked cycle, and nobody rebuilds the spreadsheet.
2
Name the WIG and the team
State the Wildly Important Goal as “from X to Y by Z,” assign the WIG owner and add a stable, named roster before the first cycle opens.
3
Put the scoreboard where the team works
The lag measure and one or two lead measures with weekly targets appear on a scoreboard. A display version runs on a wall-mounted screen in the care area, read-only and refreshing on its own.
4
Run the weekly WIG Session
Same day, same time, same agenda: Account, Review, Plan. Last week's commitments are already there, and each person makes a new one in the format “By [day], I will [action] for [recipient].”
5
Close the cycle and start the next
Scoreboard history, the commitment log and final lag movement are kept when a cycle closes. The sponsor sees Session status and kept-promise rate without attending every week.

1
Define your 4DX program once
Set up the template centrally, then give each unit or team its own copy. Every 90-day push runs as a tracked cycle, and nobody rebuilds the spreadsheet.
2
Name the WIG and the team
State the Wildly Important Goal as “from X to Y by Z,” assign the WIG owner and add a stable, named roster before the first cycle opens.
3
Put the scoreboard where the team works
The lag measure and one or two lead measures with weekly targets appear on a scoreboard. A display version runs on a wall-mounted screen in the care area, read-only and refreshing on its own.
4
Run the weekly WIG Session
Same day, same time, same agenda: Account, Review, Plan. Last week's commitments are already there, and each person makes a new one in the format “By [day], I will [action] for [recipient].”
5
Close the cycle and start the next
Scoreboard history, the commitment log and final lag movement are kept when a cycle closes. The sponsor sees Session status and kept-promise rate without attending every week.

In practice

A scoreboard the team can read in five seconds

Two things only: the lag measure the team is trying to move, and the lead measures they control each week. Are we winning or losing right now?

Wildly Important Goal · Example: 5 West medical-surgical unit

Reduce preventable falls from 8 per month to 3 per month by September 30

Preventable falls per month8 → 5 → target 3

Lead measure	Wk 1	Wk 2	Wk 3	Wk 4	Wk 5	Wk 6	Wk 7	Wk 8
Hourly purposeful rounding completedTarget: 95% of rooms, every shift	–	–	✓	✓	–	✓	✓	✓
Fall-risk teach-back with patient and familyTarget: every high-risk admission	–	✓	✓	✓	✓	–	✓	✓

Illustrative unit, goal and results. Each team sets its own WIG, lead measures and weekly targets.

Who it's for

Something useful for everyone involved

WIG champions and team leaders: A WIG Session that's ready to run every week, with the scoreboard updated and last week's commitments already on the agenda.
Team members: One clear commitment a week and a scoreboard that shows whether it's working.
Sponsors and executives: Session status, scoreboard currency and kept-promise rate across teams, from a monthly check-in rather than weekly attendance.
4DX program and operational excellence leads: One program definition used by every team, so cycles are consistent and history is kept from one cycle to the next.
Quality and improvement teams: A record of which behaviors moved which metrics, ready for the next cycle or the next unit.

What changes

From working around the problem to working on it

Today

A paper scoreboard or a spreadsheet nobody opens
WIG Sessions merged into the staff meeting
Commitments that can't be kept or missed
Each cycle's lessons lost when the spreadsheet is overwritten

With ImprovementFlow

A scoreboard on the unit screen that passes the five-second test
A standing Session time set for the whole team
Commitments carried forward and reported on every week
Scoreboard history and commitment logs kept for every cycle

Built around the four disciplines

Faithful to 4DX: Wildly Important Goals, lead and lag measures, a compelling scoreboard and a cadence of accountability are the structure, not add-ons to a generic project tool.
The cadence lives in the system: WIG Session day, time and frequency are set for the team's program, so the Session can't be quietly removed by one person editing a calendar.
Secure from day one: HIPAA compliance, a BAA and SSO are included in every package.

Getting started

Your first 30 days on one team

Start 4DX at team level, where the discipline is learned, then add teams once the rhythm is working. Our customer success team can support WIG selection, lead measure design and your first Session.

Days 1–7
Choose the WIG and the team. Draft the “from X to Y by Z” statement and get the sponsor's sign-off before the team kickoff.
Days 8–14
Design one or two lead measures, confirm who pulls the data each week and build the scoreboard. Test it before the first Session goes live.
Days 15–30
Run the first weekly WIG Sessions on the standing time. Review cadence, commitment quality and kept-promise rate at day 30.

Guides

4DX guides for healthcare teams

Practical primers on each discipline, written for healthcare teams.

Frequently asked questions

We've already been through 4DX training. Do we have to start over?: No. Bring the WIGs, lead measures and scoreboards your teams already have. ImprovementFlow gives them a place to run each week, so the work from the workshop keeps going.
Can the scoreboard go on a screen on the unit?: Yes. A display version of the scoreboard is built for wall-mounted screens in care areas. It's read-only, refreshes on its own and uses large type.
We run several teams on 4DX. Can we manage them together?: Yes. Define your 4DX program once, then give each facility or team its own copy with its own roster, WIG and cycle. Single-team WIGs and cascades from organizational to department to team WIGs are both supported.
We also use OKRs. Do they conflict?: They can work together. A team-level WIG can be linked to a parent OKR key result, so the team's weekly cadence becomes the way that key result gets done. Cycle lengths can follow the 4DX default, your quarters or a custom length.
Is ImprovementFlow affiliated with FranklinCovey?: 4DX was developed by Chris McChesney, Sean Covey and Jim Huling and came out of FranklinCovey's consulting practice. ImprovementFlow is the system your teams use to run the disciplines every week, alongside whatever training or coaching you already use.
What about security?: HIPAA compliance, a BAA and SSO are included in every package.