The four pillars of the clinical operation — standards, quality, compliance, people. Inventoried, calibrated, and running on cadence by Day 90.
Save to home screenThe four pillars — Standards, Quality, Compliance, People — do not stay calibrated. They drift the moment the cadence stops. The medical directors who hold the role longest treat the clinical cadence as recurring infrastructure, not a one-time stand-up.
Clinical Cadence stands up the operation. Culture Hold defines the role above it — staffing, escalation, decision latency, team friction. Run them in parallel.