Your KPIs Are Not the Problem
Your Decisions Are

Written by Florian Keim

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About Florian Keim

Florian Keim is a business operations leader with 13+ years in global pharmaceutical manufacturing. After leading performance transformation at Boehringer Ingelheim across Germany and Mexico, he now helps plant and ops leaders turn KPIs into real decisions — and decisions into action. The Emergency Room is his first publication, born from the tension between good intentions and inconsistent results.

6 Things this book will teach you

6 Things this book will teach you

The KPI Illusion

Why having KPIs doesn't mean you're managing performance — and what most leadership teams get wrong.

The KPI Illusion

Why having KPIs doesn't mean you're managing performance — and what most leadership teams get wrong.

The Emergency Room Principle

How to triage your KPIs like a doctor — treat what matters, stop reacting to every red number.

The Emergency Room Principle

How to triage your KPIs like a doctor — treat what matters, stop reacting to every red number.

Meetings Without Decisions

How review meetings become rituals of reporting instead of moments of action — and how to fix that.

Meetings Without Decisions

How review meetings become rituals of reporting instead of moments of action — and how to fix that.

Common Misdiagnoses

The most frequent traps in performance meetings that waste time and kill accountability.

Common Misdiagnoses

The most frequent traps in performance meetings that waste time and kill accountability.

Performance Is a Leadership Problem

Why execution gaps aren't a team issue but a leadership system issue hiding in plain sight.

Performance Is a Leadership Problem

Why execution gaps aren't a team issue but a leadership system issue hiding in plain sight.

The Anatomy of a Good Performance Dialogue

What a structured, decision-driven performance conversation actually looks like in practice.

The Anatomy of a Good Performance Dialogue

What a structured, decision-driven performance conversation actually looks like in practice.

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Common Questions

Common Questions

Common Questions

Is The Emergency Room a consulting pitch?

No. It's a honest reflection on what most leadership teams get wrong about KPIs — written by someone who made the same mistakes. There's no sales pitch inside, just practical thinking you can apply on Monday morning.

Who is this written for?

Plant managers, operations directors, and anyone who sits in weekly performance reviews wondering why nothing changes despite all the data on the screen. If you lead a team and own KPIs, this was written for you.

How long does it take to read?

About 30 minutes. It's designed as a focused read — seven short chapters, no filler. You can finish it in one sitting and walk away with a different perspective on how you run your performance meetings.

What makes this different from other operational excellence content?

Most OPEX content tells you what to measure. This one asks why your measurements aren't driving decisions. It's not a methodology framework — it's a diagnostic lens for the gap between reporting and actually managing performance.