Helping a Scaling Startup Hit Their Goals

Introduction

A Series C startup in Healthcare with $5M ARR was scaling quickly but facing significant challenges in maintaining alignment between its strategic vision, product direction, and team execution. The rapid pace of growth had introduced inefficiencies and created roadblocks:

• Product and engineering teams were often working on conflicting priorities, leading to silos and wasted effort.
• Stakeholders expressed frustration over delays and a lack of clarity on how initiatives aligned with broader company goals.
• Decision-making processes were unclear, resulting in ambiguity, miscommunication, and missed opportunities to deliver high-impact outcomes.

To address these challenges, we led the effort to design and implement a decision-making framework that improved alignment, streamlined decision-making, and fostered collaboration across the organization. By tailoring the framework to the company’s unique needs and growth trajectory, we ensured it became a critical tool for driving efficiency and scalable growth.

The Problem

As the healthcare tech startup scaled rapidly, inefficiencies and misalignment between strategy, product, and execution became increasingly apparent. The company faced several critical challenges:

• Conflicting Priorities Across Teams: Product and engineering teams were working on initiatives that often conflicted with one another, leading to misaligned objectives and wasted resources. This lack of coordination hindered the company’s ability to deliver on its strategic goals effectively.
• Stakeholder Frustration: Stakeholders struggled to understand how the work being done aligned with broader company objectives. Delays and a lack of visibility into progress fueled frustration and eroded trust between teams.
• Unclear Decision-Making Processes: The absence of a clear governance structure created ambiguity around decision-making. Teams were unsure who owned key decisions, which led to bottlenecks, miscommunication, and delayed execution.
• Lack of Focus on High-Impact Initiatives: Without a framework to prioritize work, the company risked spreading its resources too thin across competing initiatives. This diluted focus prevented the team from concentrating on the projects that could drive the most significant business outcomes.

Without a clear and structured approach, the company risked falling behind its aggressive growth trajectory, missing key market opportunities, and further straining internal relationships.

The Results

After analyzing the current state and identifying the root causes of the company’s challenges, we recommended and implemented a governance framework that delivered transformative results for the healthcare tech startup. This framework aligned teams and created a strong foundation for long-term growth:

• 25% Increase in Team Efficiency: Teams gained clarity on priorities, eliminating conflicting initiatives and reducing wasted effort. This alignment resulted in a 25% increase in project throughput within the first quarter.
• 40% Improvement in Stakeholder Confidence: The new communication framework provided consistent visibility into progress and outcomes, fostering trust and collaboration across the organization. Stakeholder satisfaction surveys showed a 40% improvement in confidence in the product and engineering teams.
• 30% Reduction in Decision-Making Delays: Clear workflows for escalating and resolving decisions reduced delays by 30% on average for high-priority initiatives.
• 18% Increase in Value-Driven Outcomes: By focusing on delivering measurable business value instead of shipping features, the company saw an 18% increase in the delivery of initiatives directly tied to business objectives, improving their ability to demonstrate impact across the organization.
• Scalable Governance Framework Established: The company now has a repeatable governance process to sustain alignment, prioritize effectively, and adapt to evolving business needs, setting the stage for scalability and growth.

These outcomes didn’t just solve immediate challenges; they laid the groundwork for sustainable success. With teams aligned, stakeholders engaged, and a framework built for growth, the healthcare tech startup is better positioned to achieve its strategic goals and deliver lasting impact.

How We Helped

This project engagement began with a discovery phase to uncover the root causes of misalignment and inefficiencies across the organization. Through stakeholder interviews, team workshops, and an in-depth review of existing processes, we identified critical gaps in prioritization, communication, and decision-making.

Armed with these insights, we designed and implemented a decision-making framework tailored to the healthcare tech startup’s unique needs, including the regulatory and compliance requirements that impacted work in flight. This framework was built to improve alignment, clarity, and accountability across teams while driving measurable outcomes:

By addressing the root issues through discovery and implementing a tailored governance framework, this project empowered the healthcare tech startup to align its teams, focus on high-impact initiatives, and deliver measurable value. The shift from shipping features to delivering outcomes fostered a collaborative environment where stakeholders felt engaged, informed, and confident in the team’s ability to drive business success.

How You Can Take Action

If your company is struggling with misaligned priorities, unclear decision-making, or frustrated stakeholders, these challenges often signal deeper inefficiencies in how decisions are made, communicated, and executed. Left unaddressed, they can slow progress, waste resources, and strain internal trust.

At Ready Steady, we specialize in helping companies implement a decision-making framework that connects strategy with execution and ensures your teams deliver measurable business value. Here’s how we can support your journey:

• Diagnose the Root Cause of Misalignment: Through discovery sessions, stakeholder interviews, and process reviews, we uncover what’s slowing your teams down and identify areas for improvement.
• Develop and Implement a Decision-Making Framework: We’ll introduce clear processes for prioritization, intake, and decision escalation, ensuring your teams know what to work on, how to communicate, and how to move forward efficiently.
• Enhance Stakeholder Collaboration: We’ll establish communication rhythms and feedback loops to build trust, increase transparency, and ensure everyone is aligned on objectives and progress.
• Shift to a Value-Driven Approach: We help companies focus on the business impact of their initiatives, moving from tracking features shipped to delivering measurable outcomes tied to strategic goals.

Our services include:

• Discovery and Process Mapping: Gain clarity on what’s working and where improvements are needed.
• Framework Design and Training: Equip your teams with the tools and templates to support better prioritization and alignment.
• Stakeholder Alignment Workshops: Bring your leadership and teams together to define priorities and ensure buy-in for new approaches.
• Advisory and Coaching: Support your leadership team with guidance on scaling processes and driving organizational alignment.

Don’t let misalignment or decision bottlenecks slow your company’s growth. With a tailored decision-making framework, your teams can work more efficiently, collaborate effectively, and deliver the results that matter.

Ready to take the next step? Let’s talk.