Before a high-pressure change
Establish the leadership pattern before an EHR go-live, AI-enabled workflow change, or enterprise transformation adds load.
OCI Assessment
Decide what the operating condition is asking leaders to do next.
The Operational Coherence Index™ gives healthcare executives a clearer view of the conditions behind the dashboard—so they can decide whether to establish the pattern, intervene, or test whether recovery is taking hold.
Individual Starting Point
Begin with a private view of your own leadership experience.
The free Executive OCI Self-Assessment gives healthcare leaders an immediate, individual profile before deciding whether broader team assessment work is needed.
“Operational coherence -- the ability to sustain operational stability under pressure -- comes from architecture, not heroic effort.”
When OCI Is Useful
Use OCI when the organization needs a shared view of what is affecting performance.
It is particularly useful before a major change, when executive reporting and frontline reality are diverging, or when leaders need to determine whether active strain is isolated or systemic.
When the condition is unclear
Clarify whether delayed decisions, repeated escalation, or uneven follow-through are symptoms of a deeper operating pattern.
When recovery must be verified
Move beyond a green dashboard and determine whether the conditions that support performance are actually improving.
What OCI Measures
The Six Control Points show where the Leadership Control Architecture™ is holding—and where it is not.
OCI examines leadership experience alongside operating evidence. It is not an employee-performance review or a replacement for implementation, project delivery, training, or change management.
Decision Spine
Whether ownership and decision authority are clear enough for work to move.
Execution Cadence
Whether leadership rhythms turn priorities into reliable follow-through.
Visibility Layer
Whether leaders can see the operating reality behind headline reporting.
Friction Radar
Whether obstacles, workarounds, and unfinished work surface early enough to address.
Command Core
Whether escalation leads to timely closure and coordinated action.
Leader System
Whether leaders have the capacity and support to carry the work through sustained change.
Executive Team OCI Assessment
Establish the pattern before deciding what to change.
The initial assessment brings together multi-participant OCI input, perception-gap analysis, and selected operating evidence. It gives the executive team a grounded view of the pattern, the pressure points, and the first priorities to address.
What it includes
- Purpose and participant design
- OCI input across the Six Control Points
- Perception-gap and pattern analysis
- Executive report and facilitated readout
The decision in plain language
The initial assessment establishes the pattern. The 90-day engagement determines whether operating conditions actually improve.
Optional 90-Day Measurement And Recovery Engagement
Test whether the operating conditions are actually improving.
When leaders need more than an initial readout, Stability Edge pairs the OCI pattern with defined operating evidence and follows the recovery trajectory at 30, 60, and 90 days. The work shows what is improving, what is holding, and where strain is still accumulating.
Fictional example: Cresta Health System is a fictional name. The report illustrates the format and reasoning of an OCI deliverable; it does not describe a client or a client result.
Sample Report
See what an OCI Executive Report makes visible.
Download the Illustrative OCI Executive Dashboard Extended Report—a complete example showing the overall score, Six Control Point scores, perception gaps, evidence limits, leadership narrative, and three priorities.
What The Client Receives
Evidence leaders can use in the next decision.
The deliverables turn the assessment into a practical executive conversation—not another report to admire.
- An executive view of the operating pattern across all Six Control Points.
- Perception gaps and operating evidence that show where the leadership view differs from the work.
- A focused set of priorities, ownership questions, and the next decision for the executive team.
- For the 90-day engagement, a recovery trajectory that tests whether conditions are improving.
Experience Evidence
Why executives can trust the work.
Stability Edge is founder-led and grounded in verified experience across healthcare transformation, clinical improvement, and enterprise technology work—not borrowed claims or implied client endorsements.
in transformation, improvement, and organizational development.
in healthcare settings, including health systems, academic clinical research, behavioral health, and community hospitals.
across multi-site technology work and clinical improvement close to patient care.
Mark C. Medlin developed the Operational Coherence Index™ to assess what leaders at various levels are experiencing in their operations work. A second measurement instrument assesses the actual results that operational work achieves. Together, they offer a new and innovative view of operational work experience and operational work results.
Confidentiality At A Glance
Team findings are designed for executive learning, not individual exposure.
- Team findings are reported in aggregate.
- Individual responses are not displayed in executive reports.
- Groups with fewer than five completed responses are not reported separately.
- OCI responses are not used to train artificial-intelligence systems.
Frequently Asked Questions
What leaders ask before an OCI assessment.
What does an Executive Team OCI Assessment include?
It includes multi-participant assessment input, analysis of patterns and perception gaps, an executive report, and a facilitated readout.
When is a Measurement and Recovery Engagement appropriate?
It is appropriate when leaders need to pair OCI experience evidence with operating measures and follow the recovery pattern across 30, 60, and 90 days.
Executive Briefing
Decide which OCI level gives you the evidence you need.
In a focused 30-minute conversation, we will clarify the pressure point, identify the most useful next step, and determine whether Stability Edge is the right fit.