Clarity in Strategy. Confidence in Leadership.
Impact in Execution.

LEADing Forward. Strategic counsel for healthcare organizations, academic institutions and executives navigating complexity and shaping what comes next.

Connected expertise. Clear direction.

Complex challenges rarely sit within a single discipline.
Bring strategy, people and new possibilities into the same conversation.

Healthcare

Clarify priorities and connect organizational strategy with the realities of care delivery.

Academia

Align academic purpose, institutional priorities and a practical path forward.

Leadership

Learn Relentlessly. 
Empower Boldly. 
Align Strategically.
Disrupt Intelligently.

Innovation

Examine new possibilities through the lens of strategic fit, integration and implementation.

Founder

Scott S.
De Rossi, DMD, MBA

A focus on the intersection of strategy, leadership and organizational purpose.

Dr. Scott S. De Rossi founded Sigma Delta Strategic Solutions to serve healthcare organizations, academic institutions and executive clients. The firm’s focus brings strategy, innovation, integration and leadership into a connected conversation.

The starting point is a clear understanding of the challenge: what matters, what needs to change and what leadership must align to move forward.

Friday Perspective

Space to step back, question assumptions and consider the decisions ahead.

Editorial previews exploring healthcare strategy, academic leadership and innovation.

  • 10.23.26 Friday Perspective: The Discipline of Ignoring

    One of the lessons I took from reading the book Atomic Habits and listening to its author, James Clear at a recent conference where we were both speaking, is that our lives are shaped less by dramatic decisions than by the small things we repeatedly choose to do, called habits. He calls it the “aggregation of marginal gains.” Lately I have been thinking about the other side of that equation - what I refer to as “addition by subtraction.” Our lives are shaped by the things we repeatedly choose not to do.

    There is an art to knowing what to ignore and it is harder to “not do” now than it ever has been. We live in an age that rewards reaction - another notification, post, opinion demanding a response, controversy inviting us to take a side, or opportunity to compare our lives, careers, accomplishments, and ideas against everyone else's carefully curated version of reality online.

    For years, I participated in that world, particularly on LinkedIn. There were benefits, for sure. I made connections, exchanged ideas, and built relationships. But eventually I began asking a different question: What is all of this doing to my attention? So I got off social media. And something interesting happened. Nothing happened.

    The world continued without me. The conversations continued. People continued posting, arguing, celebrating, criticizing, and accumulating likes. And I discovered that sometimes the best way to win a game is simply to stop playing it. There is tremendous freedom in realizing that not every invitation deserves acceptance. Not every criticism requires a response. Not every opinion deserves consideration. And not every empty moment needs to be filled. What do you do when there is nothing to do?

    We have become remarkably uncomfortable with having nothing to do. We reach for a phone in an elevator. We fill the car ride with a podcast. We answer emails between meetings. We consume information while eating breakfast. Silence has become something to eliminate rather than experience. Yet some of the most important thinking in my life has occurred when there was seemingly nothing to do. Walking. Driving. Sitting quietly. Thinking. No agenda. No audience. No algorithm. Just time alone with my thoughts. Perhaps that is a habit worth cultivating.

    The Stoics understood that mastery begins with distinguishing between what deserves our attention and what does not. Atomic Habits reminds us that small choices compound. Maybe one of the most powerful habits we can develop, then, is the habit of deliberate ignoring. Protect your attention. Choose carefully what deserves your time and energy. Become comfortable with silence. Spend some time doing nothing. Because in a world relentlessly competing for our attention, the ability to sit quietly with ourselves may no longer be idleness. It may be a necessary discipline.

  • 10.23.26 Friday Perspective: The Discipline of Ignoring

    One of the lessons I took from reading the book Atomic Habits and listening to its author, James Clear at a recent conference where we were both speaking, is that our lives are shaped less by dramatic decisions than by the small things we repeatedly choose to do, called habits. He calls it the “aggregation of marginal gains.” Lately I have been thinking about the other side of that equation - what I refer to as “addition by subtraction.” Our lives are shaped by the things we repeatedly choose not to do.

    There is an art to knowing what to ignore and it is harder to “not do” now than it ever has been. We live in an age that rewards reaction - another notification, post, opinion demanding a response, controversy inviting us to take a side, or opportunity to compare our lives, careers, accomplishments, and ideas against everyone else's carefully curated version of reality online.

    For years, I participated in that world, particularly on LinkedIn. There were benefits, for sure. I made connections, exchanged ideas, and built relationships. But eventually I began asking a different question: What is all of this doing to my attention? So I got off social media. And something interesting happened. Nothing happened.

    The world continued without me. The conversations continued. People continued posting, arguing, celebrating, criticizing, and accumulating likes. And I discovered that sometimes the best way to win a game is simply to stop playing it. There is tremendous freedom in realizing that not every invitation deserves acceptance. Not every criticism requires a response. Not every opinion deserves consideration. And not every empty moment needs to be filled. What do you do when there is nothing to do?

    We have become remarkably uncomfortable with having nothing to do. We reach for a phone in an elevator. We fill the car ride with a podcast. We answer emails between meetings. We consume information while eating breakfast. Silence has become something to eliminate rather than experience. Yet some of the most important thinking in my life has occurred when there was seemingly nothing to do. Walking. Driving. Sitting quietly. Thinking. No agenda. No audience. No algorithm. Just time alone with my thoughts. Perhaps that is a habit worth cultivating.

    The Stoics understood that mastery begins with distinguishing between what deserves our attention and what does not. Atomic Habits reminds us that small choices compound. Maybe one of the most powerful habits we can develop, then, is the habit of deliberate ignoring. Protect your attention. Choose carefully what deserves your time and energy. Become comfortable with silence. Spend some time doing nothing. Because in a world relentlessly competing for our attention, the ability to sit quietly with ourselves may no longer be idleness. It may be a necessary discipline.

Your next chapter starts with a clear conversation.

Bring the challenge. Let’s explore the priorities, possibilities and leadership decisions ahead.