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Stop Guessing Where Your Business Is Bleeding.

The exact 50-point operational audit framework I use with healthcare systems and businesses. Complete in 60 minutes. Reveal the bottlenecks costing you time, money, and sanity.

  • 5 sections covering Strategy, Process, Data, Tech & People
  • Scoring system with instant diagnosis & action plan
  • 3 quick wins you can implement this week

Business Operations Audit

50-Point Checklist

Score each item 1–5. Sections averaging < 3.5 need immediate attention.

1 Strategy & Governance

1. Written 12-month strategic plan with measurable objectives

2. Quarterly OKRs/KPIs defined and reviewed monthly

3. Single owner accountable for each major function

4. Documented decision-making framework (RACI/DACI)

5. Recurring executive review cadence

5 more items...

Section Score: ___ / 50

2 Process & Workflow Efficiency

11. Top 10 core processes documented with current SOPs

12. Defined process for creating/updating SOPs

13. Handoffs between departments mapped

14. Approval chains with SLAs documented

15. Regular process audits for waste

5 more items...

Section Score: ___ / 50

3 Data & Reporting

21. Single source of truth for key metrics

22. P&L, cash flow, pipeline in < 15 minutes

23. Dashboards accessible to right people

24. Cohort retention by acquisition channel

25. Automated data entry (no manual CSVs)

5 more items...

Section Score: ___ / 50

4 Technology & Systems

31. Tech stack documented with owners, costs, renewals

32. Systems integrate natively (no manual transfer)

33. Defined process for software evaluation

34. User permissions reviewed quarterly

35. Disaster recovery plan tested in 6 months

5 more items...

Section Score: ___ / 50

5 People & Operations

41. Roles defined with clear outcomes (not task lists)

42. Capacity planning (not just headcount)

43. Structured 30/60/90 onboarding

44. Performance reviews tied to expectations

45. Quarterly employee NPS/engagement

5 more items...

Section Score: ___ / 50

Get the Full Interactive Checklist

Download the complete 50-point checklist as a beautifully formatted PDF + an interactive Google Sheet that auto-calculates your scores and generates your personalized action plan.

  • PDF Download: Print-ready, formatted for team workshops
  • Spreadsheet version (CSV): all 50 questions with score and notes columns, ready for Excel, Google Sheets or Numbers
  • Bonus: 30-minute video walkthrough of how I run this audit with clients

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