The Adams Strategy Group works with courageous leaders seeking transformational change in the areas of team leadership, improvement management, strategy alignment, and a supporting culture. The effect of combining these four elements on your organization determines the degree of your success. When organizations and leaders intentionally coordinate and mesh these four foundations, there is potential for operational excellence. Unless you are thinking about the four elements collectively, your approach to each is isolated. For example, leadership development may be designed by human resources and is not keyed directly to getting operational gains. The result is unpredictable: some days, your team may be well-aligned and executing well. Other days, they are all over the place. When the elements are working together, radical success follows. For example: One healthcare client in Brockton, Massachusetts, has improved their serious safety event and employee injury rates annually for a cumulative 85% and 75% improvement, respectively. 25% of graduates from a physician leadership development course in Weymouth, Massachusetts, have been promoted to chief, chair, or executive leadership positions in their organizations. A healthcare client in Baltimore, Maryland, produced more than $2 million in hard savings in 100 days using their newly minted improvement management system. When leaders take the courageous step to integrate the elements, they embark on an operational excellence journey. Many have attempted to master one or two of the four elements.. Few have tried to integrate them all. For that kind of a journey, you need a roadmap and a general sense for the way forward. Our way forward is different. We know that to get a good start, you have to begin by balancing the human and operational systems using an improvement management system.