In order to optimize for outcomes, organizations need to listen to employees at all levels, creating an environment free of fear and capable of acting on feedback. There should be a focus and incentivization on a balanced set of outcomes (over output), including quality, the flow of work, safety, happiness of colleagues and customers, as well as value. With a positive trend in quality, flow, safety, and employee engagement, such that improvements are sustainable (not through allegedly working eight weeks without a day off52), cost and schedule will come down.