This document provides guidance on improving organizational decision effectiveness through various assessment and improvement tools. It outlines a 5-step process to 1) assess current decision effectiveness and organizational health, 2) identify critical decisions, 3) set up individual decisions for success, 4) align the organization to support decisions, and 5) embed decision capabilities and sustain results. Various tools are presented, including a Decision Scorecard to measure quality, speed, yield and effort of decisions, and an Organization Scorecard to identify structural or cultural barriers. The document advocates for clarifying decision roles, processes, timelines