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Strategy & Operating Models

When strategy and execution
keep drifting apart

Organizational IT strategy often breaks down at the seams — between planning and execution, teams and processes, or governance and decision rights. We help CIOs build the structures that keep strategy and delivery connected.

You’re here if...

  • Your IT strategic plan exists on paper, but work on the ground tells a
    different story
  • Governance is unclear — decisions get made, but nobody follows through
  • Teams pull in different directions, duplicating work or working at cross-purposes
  • Decision rights are fuzzy — nobody’s sure who owns what
  • The CIO operating model hasn’t been revisited in years

What’s breaking

The connection between strategy and execution. Planning happens at the top, but delivery drifts at the ground level. Accountability structures don’t match the work.

Most IT strategies fail not because they’re poorly designed, but because the connections break — between planning and execution, intake and prioritization, governance and delivery. Those breaks slow work, drain capacity, and make it harder for IT to deliver the value everyone is counting on.

Cross-functional collaboration is aspirational, not operational. Service delivery, business, and digital domains operate in silos, each with their own priorities and timelines.

How we fix it

Our engagements move through three phases — each building on the last so changes stick long after we leave.

1

Phase 1

Strategy & Direction

Strategic plan development

Define IT’s north star aligned to enterprise priorities — what the organization needs from IT over the next 2-3 years, translated into a plan teams can actually execute against.

CIO and IT operating model design

Redesign how IT is structured to deliver on that strategy — roles, reporting lines, service delivery models, and the interfaces between IT and the rest of the enterprise.

2

Phase 2

Governance & Decision-Making

Enterprise and IT governance structures

Build the forums, cadences, and escalation paths that turn strategic intent into coordinated decisions — so governance meetings produce outcomes, not just slide decks.

Decision-rights clarity

Make it unambiguous who owns which decisions, who needs to be consulted, and where escalation paths go — eliminating the ‘who’s supposed to decide this?’ friction that stalls work.

3

Phase 3

Execution & Accountability

Organizational design and teaming models

Structure teams for cross-functional delivery — so clinical, business, and digital domains work together instead of operating in parallel silos.

Strategy-to-execution alignment

Connect day-to-day work back to strategic priorities with visible linkages — so teams can see how their projects move the organization forward.

Leadership accountability frameworks

Ensure leaders own outcomes, not just activities — with clear expectations, review rhythms, and the transparency to know whether strategy is translating into results.

Talk with Matt or Jason

This is a practical conversation to create clarity — not a sales call.
We’ll help you diagnose where the connections are breaking
and identify next steps that work for you.

Request a Time to Talk