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Organizational Health Index

Test Organizational Health Where Work Changes Hands

KEEN SIX Advisory Practice · November 13, 2026 · 4 min read

Bottom line

Before approving the 2027 plan, test whether critical work can move reliably between functions. An Organizational Health Index should help leaders find where unclear ownership, competing incentives and unresolved dependencies turn sound strategy into delayed execution.

The plan depends on the space between functions

As boards and executive teams review 2027 plans, functional readiness is not enough. Sales may be ready to sell. Operations may be ready to deliver. Finance may have approved the investment. Yet the business can still struggle where their responsibilities meet.

Consider a new customer contract. Sales negotiates an exception. Legal approves the terms. Operations discovers an unpriced service requirement. Finance disputes the margin. Each team has completed its assigned task. The customer still cannot start.

That is an organizational health issue with a commercial consequence. It consumes management time, delays revenue and makes delivery depend on personal intervention.

An Organizational Health Index should be read alongside evidence from these transitions. Employee perceptions reveal whether people experience clarity, trust and support. Operating evidence shows whether those conditions hold when work crosses a boundary. Neither view is sufficient alone.

Before accepting a positive health assessment, ask whether the business can execute its most important commitments without repeated executive rescue.

Look for the cost of coordination

Collaboration is necessary. Excess coordination is not proof of a healthy organization.

In “Collaborative Overload,” Harvard Business Review describes how collaborative demands can concentrate on a small group of employees, burdening the people others rely on most.[1] In practice, these individuals often become the unofficial bridge between functions. They translate requirements, chase approvals and repair misunderstandings.

Their contribution is valuable. Their indispensability is a risk.

If a process works only because one experienced manager knows whom to call, the organization has not established a reliable handoff. It has established a dependency on that manager’s availability.

For each major 2027 priority, inspect three things:

  • Waiting: Where does work pause because the receiving function cannot accept it, lacks capacity or needs information that should already exist?
  • Rework: Where does an apparently completed task return because requirements were interpreted differently?
  • Rescue: Where must a senior leader repeatedly intervene to resolve routine ownership or priority disputes?

Use process records, a small sample of completed cases and direct conversations with the teams involved. Examine the workflow, not individual digital activity. The purpose is to improve the operating system, not monitor employees.

Translate the findings into business terms: delayed billing, missed delivery dates, duplicated effort or management hours diverted from customers and growth.

Separate relationship problems from operating problems

A weak handoff can look like poor teamwork. Sometimes it is. Often the underlying problem is more concrete.

Two functions may have incompatible targets. The sending team may be rewarded for volume while the receiving team is accountable for quality. A shared deadline may exist without agreement on what constitutes complete work. Both sides may believe the other owns the exception.

A workshop on collaboration will not resolve those contradictions.

Leaders should establish four conditions at critical handoffs: a clear output, explicit acceptance requirements, an accountable receiving owner and a route for resolving exceptions. Where priorities conflict, the executive team must make the trade-off rather than push it downward.

People must also be able to say that a handoff is failing. Amy Edmondson’s research on psychological safety and learning behavior supports the importance of a team environment where interpersonal risks, such as raising concerns, are possible.[2] That does not mean lowering performance expectations. It means making problems discussable while they can still be corrected.

Ask both sides of a handoff the same question: “What happens when you cannot meet the agreed requirement?” A process document may promise escalation. The lived answer may be silence, blame or an informal workaround. That gap belongs in the health assessment.

Run a practical test before approving more work

This week, select one business-critical flow: customer onboarding, product release, capital approval or issue resolution. Choose something material to the 2027 plan, not the easiest process to examine.

Trace several recent cases from start to finish. Include a routine case, a delayed case and one that required executive intervention. Bring together the people who sent and received the work. Identify the first point where expectations diverged.

Then make one specific correction. Clarify acceptance requirements. Resolve a target conflict. Assign responsibility for an exception. Remove an approval that adds no distinct judgment.

Do not default to another recurring meeting. HBR’s “Stop the Meeting Madness” argues for examining and changing meeting practices rather than treating them as unavoidable.[3] A new meeting is justified only if it performs work that the existing process cannot.

Review the next set of cases. Did waiting fall? Was less work returned? Could teams resolve exceptions without executive rescue? Check that improvements did not simply move the burden downstream.

Use that evidence to interpret your Organizational Health Index and challenge the annual plan. If a critical flow remains fragile, adding volume or another initiative requires an explicit capacity decision. Organizational health is not a separate people agenda. It is part of the evidence that the business can deliver what leadership has promised.

Key takeaways

  • Read organizational health findings alongside evidence from critical business handoffs.
  • Repeated executive rescue signals a process dependency, not reliable execution.
  • Resolve conflicting targets and unclear acceptance requirements before adding coordination.
  • Test one material workflow before committing it to more volume or complexity.

Questions to ask this week

  1. Which handoff could most seriously delay our 2027 commitments?
  2. Where does routine delivery depend on one person’s relationships or availability?
  3. Which functional targets create conflicting expectations at a shared boundary?
  4. What evidence would show that our next intervention reduced friction rather than moved it?

Sources

  1. [1] Collaborative Overload — Harvard Business Review, 2016
  2. [2] Psychological Safety and Learning Behavior in Work Teams — Administrative Science Quarterly, 1999
  3. [3] Stop the Meeting Madness — Harvard Business Review, 2017

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