This document discusses how organizations can assess and improve their decision-making effectiveness. It outlines two categories of critical decisions - high-value strategic decisions and frequent operational decisions that add up over time. The document also describes how Hospira, a medical device company, conducted an assessment of its decision-making using surveys and benchmarks. This revealed weaknesses in decision speed and effort. Hospira then identified organizational barriers through additional surveys and has since made changes to improve various decisions and overall decision-making performance.