Business Operations Consulting
OLDCARTS Consulting brings a clinician's rigor to business operations — helping small businesses find what's wrong, build the systems to fix it, and track the progress that proves it.
The Framework
OLDCARTS is a medical diagnostic framework used by clinicians to systematically identify the root cause of a patient's symptoms. We use the same structured thinking to diagnose your business.
Most consultants skip straight to the prescription. We take the history first.
What We Do
Turn tribal knowledge into documented, repeatable processes your whole team can follow — in whatever platform your team already uses, or one we help you choose.
Design and implement custom scorecards so you can see your business's vital signs at a glance — and act before small problems become big ones.
Translate your vision into 90-day priorities with clear ownership and the accountability rhythm to actually make progress.
Get real value from your operations software — setup, configuration, team training, and integrations that actually save you time.
Our Story
OLDCARTS started as a watch company. A medical student created it — the name is a mnemonic from clinical training. When he moved to full-time medicine, the brand passed to Laura Smith, who used it as a learning lab.
What happened next was unexpected: the diagnostic framework turned out to be more useful for businesses than for watches.
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