The Vitals+ Framework is a system to rapidly assess and radically improve the health of teams as they scale. 

If you would like to request a Vitals+ BASELINE for you or your organization, send me a note. I’ll send you a personalized invitation and opportunity to discuss your results 1:1 in a complimentary call.

Seen on the wall - Inspiration from my mama’s ER, Dr. Linda Quan, Seattle Children’s Hospital

Vitals+ FAQ

  • A survey: The Vitals + BASELINE consists of a set of 15 questions.   

    A process: How deep you go next is up to you. Reviewing responses can be a single conversation, the opener to a focused sprint on your most pressing need, or the basis for ongoing coaching to level up your executive team. 

    A philosophy: The Vitals + framework is designed to fundamentally alter the odds for founders and teams building solutions. Teams fail when they run out of cash, capital, or desire. All three are avoidable if we are willing to listen. The Vitals+ BASELINE is a structured way to ask the most important questions, and hear the answers. It is based on the belief that the wisdom you need exists within you, your team, data, and results so far.

  • The Vitals+ BASELINE is the product of the hardest won lessons: the questions and the sequence I have come to rely through over 20+ years of building, investing in, and dismantling businesses with founders, executives and investors.

    I’ve used these questions as a diagnostic tool, scaffolding from which teams can create and reinforce structural alignment across departments, and as a sort of pre-, during- and post-flight checklist, with dozens of high capacity teams to keep them safe as they grow.

  • Founders and executive teams scaling high growth operational businesses.

    The Vitals+ framework is designed specifically for teams with existing revenue, at least 12 months of operations. It can work in a startup context, with the caveat that the results nearly always point towards customer development!

  • Team managers

    Individual contributors

    Board members, if invited by the executive team  

    Investors and capital partners, if invited by the executive team

  • Before allocating significant time or resources to scale.

    As part of any major prioritization process and a kind of pre-flight checklist before making a big investment, launching a new product, pushing to grow revenue of an existing product, expanding geographically or making systemic changes.

    The Vitals+ allows your whole team to check for strength of foundations, the systems for getting work done, and visibility for each layer of the team to do their best work. We’re looking for what is working and for ‘leaks’ - the better to tune up and plug leaks before pouring more resources in the top.

    As a way to define specific goals and scope of work, whether you are working purely with your internal team or engaging outside resources.

    Pro tip: Use the Good/Better/ Best to get specific about where we are today, and where we want to be in the next 1-3 months.

  • As often you’d like support rising from deep in the weeds up to the horizon, and back down again.  This could be quarterly, monthly, or annually.

    The frequency most effective for your team will depend on 

    a) how frequently workflow and roles are changing

    b) how many layers of ‘translation’ you need between functional disciplines 

    c) how effective it feels for you and your team.

  • Scaling in this context means growth from one scale of operations to another. 

    Example: Growth from 10 ‘reps’ a year to 100. From 100 to 1,000. From 1,000 to 10,000.

    We may have great systems for selling, fulfilling, getting paid, managing cash, and refining products when doing 10 of whatever we do per year. Want to go from 10 to 100? Every system will break, and need redesign.

    The pressure is especially acute for operating businesses working in the physical world, bound by the laws of physics, changing regulations, and diverse technical talent.

    Scaling successfully in this context means achieving that growth without breaking revenue streams, customer satisfaction, capital relationships, or burning out your team and partners

    1. Reflect: Take time alone to ask and answer ‘simple’ questions about the business. Simple is not the same as easy.

    2. Align: Determine your own confidence about the degree to which your team is on the same page - where our strongest and weakest alignment exists, as of a defined point in time. 

    3. Prioritize: Identify and decide on the strongest needs for alignment, clarity, or visibility. 

  • Whatever you’re doing now: Consider the Vitals+ tool as an accelerant for your existing communication and decision processes. Your team will know best what is working, and what could use improvement. But opportunities may be tucked into a blind spot or hard to hear when things are moving fast and the stakes or emotions are high. Vitals+ is a lifeline, a rapid way to slice through the noise. It’s designed to help you and your executives align and speak the same language - to see clearly where your team may be stuck, and how to unlock the power already within your team with focused decisions, communication, clarity or visibility.

    Business Model Canvas: The Business Model Canvas is a good tool for use by a tight group of founders in early stage, rapid ideation. It is less effective for operating businesses with existing revenue and performance data. Jargon and format limit its effectiveness for communication.

    Annual strategic planning process: Consider Vitals+ an alternative or replacement to a traditional strategy document when you need rapid alignment on the health of the company, and a system to harvest the wisdom of the entire team. Annual documents tend to require a grueling process and provide more comfort to executives than value to team members. I’ve never seen strategy documents create decisions, alignment, or commitments that stick in a rapidly growing company.

    Concept memos: Memos like Amazon’s famous 6-pager are phenomenal for working through complex concepts and getting meaningful feedback from diverse stakeholders. And, memos are not operating tools. The Vitals+ tool can help an executive team scan operations to determine where the best thinking of a concept memo has, or has not, translated to support the individuals responsible for delivering daily operations and long term capital structure.

    Annual budget process: I love a budget as a communication tool about the conditions under which we could achieve x, y, or z. Budget processes don’t vet whether the team has the clarity and visibility they need to deliver on core budget assumptions. That’s where Vitals+ comes in.

  • Great work!

    I can help you with that.

    We start by getting crystal clear on your executive team priorities. Within two weeks we’ll know what needs to be done and what resources your team has on hand.

    If you have the resources you need in-house or in your network, go forth and conquer! The Vitals+ and Good/Better/Best build shared language, pattern recognition, and muscle memory so that your team can prioritize, scope and build what you need. If you have this already, fantastic. That is the goal for all teams.

    If you have internal resources and want coaching for a specific issue, or on the overall process, we’ll set up a project and drive, with me as a coach and your biggest fan.

    If you need immediate horsepower to build the solutions you agree you need, we can set up a project and I can serve as a player/coach as your team builds capacity.