Background

Startups are hard. 99% of them fail to execute on the right priorities. Everyone “gets things done” but they aren’t the right things. If each team member prioritizes the right tasks, and then each day completes 1-3 of them, the entire organization will be in the 1%. This is how we win: by boring, incremental, steadfast execution.

The Model

  1. Our multi-year operating model is our Mission & Vision & Success.
  2. Our yearly operating model is our financial board forecast which we hold people accountable to in OKRs.
  3. Quarterly, we set OKRs as laid out in ‣. These are set for every part of the organization and are downstream of our financial forecast and Mission & Vision & Success.
    1. These OKRs will be set in a quarterly OKR meeting. These OKRs will have a DRI (directly responsible individual) and a Due Date, and are evaluated each week in team and individual meetings as laid out in How We Meet (Or Not). These OKRs will be made public to everyone. If progress toward OKRs is not meeting expectations, we will give feedback in meetings as laid out in How We Give and Receive Feedback.
    2. OKRs are not meant to be a comprehensive list of everything everyone will do this quarter — they are a concise view of the most important priorities and metrics for each part of the business to get done.
  4. Monthly, we hold ourselves accountable to OKR progress in our Monthly Clinical Support OKR review meeting.
  5. Each week, the OKRs will determine what we work on. Weekly priorities and “projects” will be downstream of those OKRs. Ongoing “projects” and priorities should all be tracked in Notion for each part of the organization.

    1. At the start of the week, everyone will state their top priority for the week (only one sentence) in a Slack Channel that is devoted to this. This should be the most important thing for you to get done in the week if nothing else gets done. This should be tied to moving the needle on an OKR.

      1. For detail on this, see the following:

        Top Goal

    2. This top priority will ideally be in your Zone of Genius.

    3. Week by week, decisions will be made based on How We Decide.

  6. At the end of the week, you will state your progress toward your top priority in the same Slack Channel and how that OKR is tracking.