Calling on Leaders and Individuals to Commit to Operational Discipline
TRAVERSE CITY, MS, April 10, 2026 /24-7PressRelease/ — Steve Valdiserri, a Michigan-based healthcare operations executive and entrepreneur, is challenging leaders and operators across the industry to commit to operational discipline and simpler systems.
Steve Valdiserri, founder of Avanti Strategy Group and SVP of Operations at Tally and Accurio, has introduced a personal initiative he is calling the “Back to Basics” Pledge — a commitment to stripping unnecessary complexity out of healthcare operations and replacing it with clear ownership, clean data, and disciplined execution.
The pledge comes from a pattern Valdiserri has seen repeatedly across more than a decade in healthcare operations and value-based care.
Organizations invest in new tools, new programs, and new strategies — but the operational foundation underneath them is often broken. The result is more complexity without better outcomes.
“Healthcare doesn’t have a vision problem,” Valdiserri says. “It has an execution problem. Too many organizations are adding layers when they should be fixing foundations.”
Valdiserri spent nearly a decade at VillageMD as one of its earliest employees, building value-based care operations from the ground up. He now runs operations at Tally, an AI-powered healthcare finance company, while also advising healthcare organizations through Avanti Strategy Group. That combination — building inside a company and advising from the outside — gives him a front-row seat to where execution breaks down.
Why This Matters Now
The need for operational clarity in healthcare is accelerating:
Nearly 70% of healthcare transformation efforts fail due to execution gaps
Up to 30% of healthcare data is inaccurate, directly impacting clinical and financial decisions
Clinicians spend twice as much time on administrative tasks as they do on patient care
Over 60% of US adults have at least one chronic condition, putting increasing strain on already fragile systems
“AI won’t fix broken processes,” Valdiserri says. “But it can amplify good ones.”
Having completed a certificate in AI in Health Care from Harvard Medical School and now operationalizing AI tools daily at Tally, Valdiserri has seen firsthand where technology accelerates results and where it simply automates dysfunction. His view is straightforward: the foundation has to come first.
“Most of the time, getting the foundation right is actually pretty easy and right in your face,” he says. “Organizations just keep stepping over it looking for something more sophisticated.”
The “Back to Basics” Pledge: 7 Personal Commitments
Valdiserri is committing to the following behaviors and encouraging leaders, operators, and founders across healthcare to do the same:
I will define how a system actually works today before trying to improve it
I will assign clear ownership to every process I touch
I will validate data before using it to make decisions
I will remove at least one unnecessary step from workflows each week
I will focus on a small number of meaningful metrics, not dashboards full of noise
I will question tools that add complexity without improving outcomes
I will prioritize consistency over short-term fixes
“Progress is boring,” Valdiserri says. “And that’s how you know it’s working. You win by doing the basics every day.”
Do It Yourself Toolkit: 10 Actions You Can Take This Week
No budget required. No new tools needed.
Map one workflow on paper — end to end, the way it actually runs today
Identify one unclear owner and fix it before the week is over
Validate one key data point your team relies on for decisions
Remove one unnecessary meeting or report from the calendar
Shorten one recurring meeting by 15 minutes
Write down your top 3 priorities for the week — and only work on those first
Eliminate one tool or step that adds noise without adding value
Ask “What actually happens on Monday morning?” for one process your team runs
Clarify one decision that is currently stuck and assign someone to own it
Replace one complex metric with a simpler one that drives action
“Clarity creates calm,” Valdiserri says. “And calm leads to better decisions.”
30-Day Progress Tracker
Use this simple structure to track progress:
Week 1: Map and understand one core workflow
Week 2: Fix ownership and remove one unnecessary step
Week 3: Validate data and simplify your metrics
Week 4: Measure what changed and adjust
Track weekly:
One process improved
One step removed
One decision made faster
“What matters is whether the system actually works on a Monday morning,” Valdiserri says. “Not whether it looked good in a meeting on Wednesday.”
Call to Action
Valdiserri is encouraging operators, executives, and founders across healthcare to take the pledge this week. Start with one system. Fix one thing. Share the toolkit with your team.
The goal is not perfection. The goal is forward progress through clarity.
“Healthcare rewards people who stay long enough to understand the mess,” Valdiserri says. “Then do the work to clean it up.”
Steve Valdiserri is a healthcare operations executive and entrepreneur based in Traverse City, Michigan. He is the founder of Avanti Strategy Group, a healthcare strategy and operations firm, and serves as SVP of Operations at Tally and Accurio, where he is building the operational infrastructure for AI-powered healthcare finance. He previously spent nearly a decade at VillageMD as one of its earliest employees, building value-based care operations from the ground up. He completed a certificate in AI in Health Care from Harvard Medical School in October 2025 and holds a BA in Economics from DePauw University. Connect with him at stevevaldiserri.com.
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