Three real-world case studies from Microsoft and other organizations illustrate how outcome-oriented measurement systems drive better engineering decisions. A focus time initiative at Microsoft's CoreAI org yielded productivity gains equivalent to 350 developers by reducing meeting load. An onboarding experiment showed that 'gaming' a Time-to-First-PR metric by assigning trivial first-day PRs led to 23% more pull requests over the first year. A Health Days program during the 2020 burnout crisis showed that lost output recovered within two weeks while wellbeing benefits lasted 14 weeks. The core argument: activity metrics (commits, PRs) are clues, not destinations — the best measurement systems guide leaders toward interventions they wouldn't have tried otherwise, treating developer wellbeing as a guardrail rather than a trade-off against speed.