A product of The Culture Group · How every company we operate is run

Culture first. AI second.

The operating model and the people engineering side, for the physical world: how the companies run in offices, on visits and in the field, and how people are led, developed and measured. Its first chapter is The Culture OKR Playbook.

See it on CultureAI (opens in a new tab)The family

5: Principles. Every week
4: Beats. One weekly rhythm
5: Steps. In order, for every change
2: Companies run on it today

Principle 05 · The physical world

Meet the people before changing the work.

Change starts with the people who do the work. At HealthView, every clinician meets clinical leadership before anything in their day changes.

HealthView · in the field

Five principles

Every number has an owner.

Every screen in CultureAI exists to make one of these easier to keep, every week.

Culture first. AI second.
Tools only get used where people trust them. So the culture comes first, and AI makes it faster.
Every number has an owner.
Each goal breaks into a few numbers, and each number has one person who moves it. Status is a word: on track, needs attention, behind, done.
Work the bottleneck first.
Each week, the one thing holding the team back is named first and worked first. A dashboard reports; the team clears it.
Ask before acting.
AI drafts the work and a person approves it. Every action is logged with who approved it, and can be undone.
Meet the people before changing the work.
Change starts with the people who do the work. At HealthView, every clinician meets clinical leadership before anything in their day changes.

One week

The same rhythm, every week.

For every team, from the executive seat to the field staff.

Monday morning
The brief.
Each person gets a short brief of their own numbers and the three things holding their team back.
Before every 1:1
The agenda writes itself.
The goals, the numbers and the promises from last time arrive in the agenda. Nobody prepares from memory.
Every day
The bottleneck gets worked.
Agents draft the work that moves the stuck number. A person approves it.
Friday
The update writes itself.
Each person’s weekly update is drafted from what actually moved. They read it, change a word, and sign it.

First principles, in order

Automation comes last.

We start from what is true, not from how care has always been run. Every change goes through the same five steps.

Question the requirement.
Who asked for this, and is it still true?
Delete what isn’t needed.
The best step is the one nobody has to do.
Simplify what’s left.
Fewer handoffs, fewer forms, fewer meetings.
Speed it up.
Shorten the time from a problem to the person who can fix it.
Then automate.
Only now does an agent take the step, and it still asks first.

Case study · HealthView

Built in the physical world.

HealthView Home Health, founded in 1967, and HealthView Hospice and Palliative Care serve Southern California. They are the first companies run on the Culture System and measured on CultureAI.