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Flevy Management Insights Case Study
Telehealth Expansion Strategy for a Healthcare Provider in North America


There are countless scenarios that require Competitive Advantage. Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Competitive Advantage to thoroughly analyze their unique business challenges and competitive situations. These firms provide strategic recommendations based on consulting frameworks, subject matter expertise, benchmark data, best practices, and other tools developed from past client work. Let us analyze the following scenario.

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Consider this scenario: A regional healthcare provider is seeking to enhance its competitive advantage by integrating telehealth services.

Facing a 20% decrease in patient visits due to the convenience offered by competitors’ digital platforms, the organization is also contending with a 15% increase in operational costs, exacerbated by outdated technology and processes. Furthermore, external pressures include changing regulatory requirements and increased competition from national telehealth services. The primary strategic objective is to implement a comprehensive telehealth service that improves patient access, reduces operational costs, and positions the organization as a leader in digital healthcare innovation.



The rapidly evolving healthcare landscape, accentuated by the global pandemic, has underscored the necessity for traditional healthcare providers to adopt digital health solutions. This transition is not just a matter of technological upgrade but a strategic pivot to remain relevant and competitive.

Strategic Analysis

  • Internal Rivalry: The competition among healthcare providers has intensified, especially with the entry of digital-first telehealth companies, making the market highly competitive.
  • Supplier Power: With the increasing demand for telehealth technology solutions, suppliers of digital health platforms have gained significant negotiation power.
  • Buyer Power: Patients are increasingly seeking convenient, accessible healthcare options, giving them greater power in choosing providers that offer telehealth services.
  • Threat of New Entrants: The low barriers to entry in the digital space have seen a surge in startups offering innovative telehealth services, posing a threat to traditional providers.
  • Threat of Substitutes: Alternative healthcare delivery models, including on-demand health advice services and AI-driven diagnostic tools, represent a growing substitute threat.

Emergent trends in the healthcare industry include the rapid adoption of telehealth, increased patient preference for digital health services, and the integration of AI and machine learning for improved healthcare diagnostics and patient care. Major changes in industry dynamics include:

  • Shift towards patient-centric care models: This presents an opportunity to develop more personalized healthcare services but requires significant investment in technology and data analytics.
  • Increased regulatory scrutiny on digital health services: While ensuring patient data protection and service quality, this could pose risks related to compliance costs and operational flexibility.
  • Integration of AI in healthcare: Offers the opportunity to enhance diagnostic accuracy and operational efficiency but comes with high development costs and potential resistance from traditional healthcare professionals.

A PEST analysis reveals that political factors, such as changes in healthcare regulation and funding, economic shifts influencing healthcare spending, social trends towards digital healthcare adoption, and technological advancements in telehealth, all play critical roles in shaping the strategic direction of healthcare providers.

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Internal Assessment

The organization possesses a strong foundation in providing quality healthcare but faces challenges in digital integration, operational efficiency, and adapting to the rapidly changing healthcare environment.

A MOST Analysis indicates a misalignment between the organization’s mission, objectives, strategies, and tactics, particularly in integrating digital health services. A reevaluation of strategic priorities is necessary to ensure alignment with the digital transformation goal.

A Distinctive Capabilities Analysis underscores the organization’s strengths in patient care and community trust but highlights a gap in digital innovation capabilities. Building or partnering for technological expertise is essential for competitive advantage.

The Core Competencies Analysis reveals that while the organization excels in traditional healthcare delivery, it must develop competencies in digital health solutions, data analytics, and patient experience management to succeed in the telehealth domain.

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Strategic Initiatives

  • Launch a Telehealth Service Platform: To establish a robust telehealth offering that improves patient access and convenience. The initiative aims to leverage digital technology to enhance service delivery and patient satisfaction. The value creation comes from expanding the patient base and improving operational efficiency. Resources required include technology investment, staff training, and marketing.
  • Partner with Technology Providers: To accelerate the digital transformation journey through strategic partnerships with telehealth technology companies. This initiative seeks to tap into advanced technological capabilities without the overhead of developing them in-house. It aims to enhance competitive advantage through innovation. Required resources include partnership management and integration expertise.
  • Implement an Operational Efficiency Program: Focused on streamlining processes and integrating digital solutions to reduce costs and improve service delivery. This initiative is critical for reallocating resources towards strategic investments in telehealth. Resources needed include process reengineering expertise and technology investment.

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Competitive Advantage Implementation KPIs

KPIS are crucial throughout the implementation process. They provide quantifiable checkpoints to validate the alignment of operational activities with our strategic goals, ensuring that execution is not just activity-driven, but results-oriented. Further, these KPIs act as early indicators of progress or deviation, enabling agile decision-making and course correction if needed.


What you measure is what you get. Senior executives understand that their organization's measurement system strongly affects the behavior of managers and employees.
     – Robert S. Kaplan and David P. Norton (creators of the Balanced Scorecard)

  • Telehealth Service Adoption Rate: Measures the percentage of patients using the telehealth platform, indicating the success of the digital transformation efforts.
  • Operational Cost Savings: Tracks the reduction in operational expenses as a result of efficiency improvements, essential for funding technology investments.
  • Patient Satisfaction Scores: Evaluates the impact of telehealth services on patient experience, crucial for retaining and expanding the patient base.

These KPIs provide insights into the effectiveness of the strategic initiatives, enabling continuous improvement and adjustment to strategies based on real-world performance and feedback.

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Competitive Advantage Deliverables

These are a selection of deliverables across all the strategic initiatives.

  • Telehealth Strategy and Implementation Plan (PPT)
  • Digital Partnership Framework (PPT)
  • Operational Efficiency Improvement Roadmap (PPT)
  • Technology Investment Financial Model (Excel)

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Launch a Telehealth Service Platform

The Value Chain Analysis was chosen to identify and optimize the specific activities involved in creating, delivering, and supporting the new telehealth service. This framework, initially proposed by Michael Porter, is instrumental in understanding how each activity contributes to the value delivered to patients and identifying potential areas for competitive advantage. The implementation of the Value Chain Analysis allowed the organization to dissect its operations into primary and support activities specifically for the telehealth initiative.

  • Identified key primary activities including inbound logistics (setting up the digital infrastructure), operations (delivering telehealth services), outbound logistics (managing patient data and follow-ups), marketing and sales (promoting the telehealth platform), and service (patient support and feedback mechanisms).
  • Analyzed support activities such as procurement (selecting technology vendors), technology development (customizing the telehealth platform), human resource management (training staff on telehealth operations), and infrastructure (ensuring IT support for telehealth services).
  • Assessed each activity for its value contribution and cost structure, identifying areas where the organization could differentiate its telehealth service (e.g., superior patient support, seamless integration with existing health records).

As a result, the organization successfully launched its telehealth service platform, creating a differentiated patient experience through streamlined operations and enhanced support services. The Value Chain Analysis helped pinpoint critical areas for investment and improvement, leading to a competitive telehealth offering that aligned with patient needs and expectations.

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Partner with Technology Providers

For this strategic initiative, the organization utilized the Strategic Alliance Framework to guide its partnership with technology providers. This framework is effective in structuring and managing alliances that complement an organization’s strategic goals. By aligning with technology partners, the healthcare provider aimed to leverage external expertise and innovation to accelerate its telehealth services development. The process involved:

  • Identifying potential technology partners with complementary capabilities and a shared vision for telehealth innovation.
  • Evaluating each potential partner based on strategic fit, technological expertise, and cultural alignment to ensure a successful collaboration.
  • Formulating and negotiating the terms of the alliance, focusing on shared goals, resource commitments, and governance structures to manage the partnership effectively.

The strategic alliances formed with technology providers enabled the organization to rapidly enhance its telehealth platform with cutting-edge features and functionalities. This collaborative approach not only reduced the time-to-market for the new service but also established a foundation for ongoing innovation and improvement in the telehealth offering.

Implement an Operational Efficiency Program

Lean Management principles were applied to streamline operations and enhance efficiency across the organization as part of the operational efficiency program. Originating from the Toyota Production System, Lean Management focuses on minimizing waste and maximizing value through continuous improvement practices. This methodology was particularly relevant for identifying inefficiencies in the organization’s processes that could hinder the delivery of the new telehealth services. The team undertook the following steps:

  • Mapped out all operational processes related to patient care and support, identifying non-value-adding activities and bottlenecks.
  • Implemented solutions to eliminate waste, such as automating administrative tasks and optimizing patient flow through the telehealth platform.
  • Established a culture of continuous improvement by training staff in Lean principles and encouraging the identification and resolution of inefficiencies.

The adoption of Lean Management principles led to significant improvements in operational efficiency, reducing costs, and enhancing the patient experience. By focusing on value for the patient and eliminating waste, the organization was able to reallocate resources towards strategic investments in its telehealth initiative, laying the groundwork for sustainable growth and competitiveness in the digital healthcare market.

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Key Findings and Results

Here is a summary of the key results of this case study:

  • Launched a comprehensive telehealth service platform, achieving a 25% increase in patient visits within the first year.
  • Formed strategic alliances with two leading technology providers, enhancing the telehealth platform's capabilities and reducing development time by 40%.
  • Implemented Lean Management principles, resulting in a 15% reduction in operational costs through streamlined processes and waste elimination.
  • Recorded a 30% improvement in patient satisfaction scores, attributed to the convenience and efficiency of the new telehealth services.
  • Identified and optimized key value chain activities, leading to a differentiated patient experience and competitive advantage in digital healthcare.

The initiative to integrate telehealth services has yielded significant positive outcomes for the organization, notably in patient visitation rates, operational cost savings, and patient satisfaction. The strategic alliances formed with technology providers were particularly successful, allowing the organization to leverage external expertise and reduce time-to-market for its telehealth platform. This move not only enhanced the platform's capabilities but also positioned the organization as a leader in digital healthcare innovation. The implementation of Lean Management principles further contributed to these successes by improving operational efficiency and reducing costs, which was crucial for reallocating resources towards the telehealth initiative.

However, the initiative also faced challenges. The 15% reduction in operational costs, while significant, fell short of the ambitious targets set at the outset. This shortfall suggests that there might have been underutilized opportunities for further streamlining operations or that the scope of Lean Management principles was too narrow. Additionally, while patient satisfaction improved, continuous monitoring and enhancement of the user experience are necessary to maintain competitiveness, especially as digital healthcare becomes more widespread and patient expectations evolve.

For next steps, the organization should focus on expanding its telehealth services to include more specialized care options, which could further differentiate its offering in a crowded market. Investing in advanced data analytics for personalized patient care and continuous platform improvement based on user feedback could also enhance patient satisfaction and engagement. Furthermore, exploring additional strategic partnerships, especially in emerging technologies like AI for diagnostics, could provide a competitive edge and address any gaps in operational efficiency and patient care quality.

Source: Telehealth Expansion Strategy for a Healthcare Provider in North America, Flevy Management Insights, 2024

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