Getting decisions that stick

featuring Kurt Neubek

April 28, 2023

A photo of a male giving a presentation shown on a projection screen.

Minimizing delays by preventing second-guessing and change orders

Years of architectural practice in the healthcare industry led Kurt Neubek to a “eureka” moment that resulted in a popular presentation he has since given across the US to a variety of audiences in different industries. The spark came from a comment Kurt’s colleagues often made that one of the biggest factors in project delays was when clients almost inevitably changed their minds after the intended schedule for a given decision.

As a Page Healthcare practice leader, Kurt wanted to know if client changes and subsequent additional services and change orders typically result from a decision maker receiving new information or if “decisions by committee” are second-guessed. Once he began investigating, he realized the challenge posed by changes was actually ubiquitous across companies in every market sector.

He developed recommendations to “get decisions that stick” for both architects and client teams, which typically consist of a project manager, representatives for the owner and decision makers. While his advice is very simple, it is truly helpful to understand the psychology behind them.

Everyone has different personality types which influence their decision-making process

Rather than trying to determine and accommodate each one, focus on identifying the real decision makers–and who can override them. The sooner those people become involved, the greater the likelihood of decisions that stick.

Tell decision makers all the information they need the first time – but no more

The data in Getting Decisions That Stick supports the primary cause of additional services and change orders, which is changes in variables that in turn result in second-guessing among team members. To illustrate, Kurt shows audiences a CAT scan, telling them to pretend it’s theirs, then asks what action they’d like the doctor to take. He reminds the audience, “Clients feel this way when we show them design plans and ask for their review and approval – they’re uncertain.”

Owners have a unique role

Owners can help the design team by establishing a policy that decisions made during the design phase will neither be reviewed nor remanded. By helping clients understand “decisions are fragile and need to be protected”, they will also better understand the consequences of design changes out of sequence, such as loss of time and additional cost.


Audiences have given the presentation rave reviews, with comments such as, “Kurt is a fantastic speaker”, “In some ways, each of the points is simple, even obvious. Yet we are not doing them, and many of the points were new to the audience.”

This was one of the top-rated presentations at the Health Facility Institute Symposium in recent years.

To book Kurt as a speaker at an industry organization event, conference or corporate meeting, contact him here.

Kurt Neubek

Healthcare Director