Flevy Management Insights Case Study
Strategic Growth Plan for Professional Association in Healthcare Sector
     Joseph Robinson    |    Cost Cutting


Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Cost Cutting to thoroughly analyze their unique business challenges and competitive situations. These firms provide strategic recommendations based on consulting frameworks, subject matter expertise, benchmark data, KPIs, best practices, and other tools developed from past client work. We followed this management consulting approach for this case study.

TLDR A leading healthcare association experienced a 20% drop in membership renewals and high operational costs from outdated tech. After executing a Digital Transformation and applying Lean Six Sigma, membership renewals rose by 25% and operational costs fell by 30%. This underscores the need to adapt to member needs and invest in technology.

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Consider this scenario: A prestigious professional association within the healthcare sector is facing significant challenges related to cost cutting amid a 20% decline in membership renewals over the past two years.

External pressures include a rapidly evolving healthcare industry, where professionals seek more digital and flexible continuing education options, and internal challenges such as outdated technology systems that increase operational costs and reduce member engagement. The primary strategic objective of this organization is to reverse the membership decline by enhancing value proposition and operational efficiency, thereby securing its position as the leading resource for healthcare professionals.



This professional association is at a critical juncture, struggling to maintain its relevance in a fast-changing healthcare landscape. The necessity to adapt to digital transformation and to streamline operations is evident, as the organization is burdened by high operational costs and an outdated service delivery model. These factors contribute significantly to the decline in membership and engagement, underlining the urgency of a strategic overhaul.

Competitive Analysis

The healthcare professional association industry is characterized by intense competition and rapid evolution, driven by technological advancements and changing professional development needs.

  • Internal Rivalry: High, with numerous associations vying for membership among healthcare professionals, each offering varied benefits and resources.
  • Supplier Power: Moderate, as the cost and availability of technology solutions for member management and engagement vary widely.
  • Buyer Power: High, due to the abundance of professional development options available to healthcare professionals, both online and offline.
  • Threat of New Entrants: Moderate, with barriers related to established brand recognition and member loyalty, but lowered by digital platforms enabling new competitors to emerge rapidly.
  • Threat of Substitutes: High, as free online resources and informal networks offer alternatives to traditional association memberships.

  • Digitization of professional education: This presents an opportunity to develop and offer cutting-edge online learning and networking platforms but risks further decline in traditional membership if not addressed swiftly.
  • Increased demand for specialized knowledge: Affords the opportunity to create niche interest groups and tailored content, potentially attracting a more engaged and committed membership base.
  • Shift towards value-driven membership models: This trend underscores the need for clear articulation of membership benefits and personalized member experiences to enhance retention and attract new members.

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Internal Assessment

The organization boasts a strong legacy and credibility within the healthcare sector but is hampered by an outdated technology infrastructure and a lack of agile processes to quickly adapt to market changes.

SWOT Analysis

The association's strengths lie in its comprehensive network and deep industry insights. Opportunities include leveraging technology to offer innovative learning and networking platforms, and tailoring membership packages to diverse professional needs. However, its weaknesses in technology adoption and operational efficiency could impede these efforts. External threats encompass the rapidly evolving healthcare landscape and the increasing number of alternatives for professional development.

Gap Analysis

The Gap Analysis highlights a significant disconnect between current operational capabilities and the evolving expectations of healthcare professionals. This gap, if not addressed, could further erode the association's market position and financial stability.

Organizational Design Analysis

The current hierarchical structure inhibits rapid decision-making and flexibility, essential for digital transformation and member engagement initiatives. A more fluid, project-based organizational design could enhance agility and innovation.

Strategic Initiatives

  • Digital Transformation for Enhanced Member Experience: Implement a comprehensive digital platform that offers online learning, networking, and membership management to improve engagement and operational efficiency. This initiative aims to increase member retention and attract new members by meeting the digital-first expectations of modern healthcare professionals. The source of value creation lies in leveraging technology to deliver superior value and convenience, expected to result in increased membership renewals and engagement. This will require investments in technology infrastructure, digital content creation, and marketing to promote the new offerings.
  • Cost Cutting Through Operational Efficiency: Streamline internal processes and adopt cloud-based solutions for member management and content delivery to reduce operational costs. This initiative aims to improve the financial health of the association, allowing for reinvestment in member services and benefits. Value is created through reduced expenses and improved service delivery efficiency, requiring careful management of technology vendor relationships and internal change management.
  • Segmented Membership Models: Develop tailored membership packages that cater to varying professional development needs and career stages of healthcare professionals. This initiative seeks to increase membership diversity and depth, creating value by offering more personalized experiences and resources. It necessitates market research to identify member segments and customization of membership offerings accordingly.

Cost Cutting 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)

  • Membership Renewal Rate: An increase in this KPI will indicate success in improving the value proposition and member satisfaction.
  • Operational Cost Reduction: A reduction in operational costs will reflect the effective implementation of efficiency measures.
  • Engagement Metrics on Digital Platforms: Higher interaction rates will signal successful adoption and value creation through the new digital offerings.

These KPIs provide insights into the effectiveness of the strategic initiatives in addressing the core challenges of declining membership and operational inefficiency. A positive trend in these metrics will confirm alignment between strategic efforts and organizational goals.

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Stakeholder Management

Successful implementation of the strategic initiatives will require the active involvement and support of key stakeholders, including the board of directors, association members, technology partners, and staff.

  • Board of Directors: Provide strategic oversight and approval of initiatives.
  • Association Members: Their feedback and engagement levels are critical for tailoring and refining new offerings.
  • Technology Partners: Essential for the development and maintenance of digital platforms and operational systems.
  • Staff: Responsible for executing strategic initiatives and managing day-to-day operations.
  • Marketing Team: Key in communicating changes and new offerings to current and potential members.
Stakeholder GroupsRACI
Board of Directors
Association Members
Technology Partners
Staff
Marketing Team

We've only identified the primary stakeholder groups above. There are also participants and groups involved for various activities in each of the strategic initiatives.

Learn more about Stakeholder Management Change Management Focus Interviewing Workshops Supplier Management

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Cost Cutting Deliverables

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

  • Strategic Plan Presentation (PPT)
  • Digital Transformation Roadmap (PPT)
  • Operational Efficiency Framework (PPT)
  • Membership Growth Strategy Document (PPT)
  • Financial Impact Analysis Model (Excel)

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Digital Transformation for Enhanced Member Experience

The strategic initiative to enhance member experience through digital transformation was significantly supported by the application of the Value Chain Analysis framework. This approach, developed by Michael Porter, was instrumental in dissecting the organization's activities and identifying key areas where value could be added through digital means. It proved invaluable for understanding how digital tools could enhance the association's service delivery, member engagement, and internal processes. The team meticulously applied this framework with the following steps:

  • Segmented the association's operations into primary and support activities to pinpoint where digital enhancements could streamline processes or improve service delivery.
  • Evaluated the current technology stack against these activities to identify gaps and opportunities for digital platforms that could enhance member value.
  • Implemented targeted digital solutions for identified gaps, such as an advanced CRM for better member management and a mobile app for on-the-go access to resources.

Additionally, the team utilized the Customer Journey Mapping framework to gain deeper insights into the members' experiences and expectations from the association. This framework helped in visualizing the end-to-end experience of members, from initial awareness to membership renewal processes. By mapping out these journeys, the organization was able to identify critical touchpoints that could be enhanced digitally to improve overall satisfaction and engagement.

  • Conducted workshops with members to map out their current engagement journey with the association, highlighting pain points and opportunities for digital intervention.
  • Designed and implemented a new member portal that addressed these pain points, offering personalized content, easier access to resources, and streamlined communication channels.

The results of implementing these frameworks were transformative. The Value Chain Analysis led to strategic investments in technology that streamlined operations and enhanced service delivery, while the Customer Journey Mapping provided insights that directly influenced the design of a highly engaging member portal. Together, these frameworks facilitated a digital transformation that significantly improved member satisfaction and engagement, as evidenced by a 25% increase in membership renewals and a 40% increase in active engagement on the digital platform within the first year.

Cost Cutting Through Operational Efficiency

For the strategic initiative focused on cost cutting through operational efficiency, the organization adopted the Lean Six Sigma methodology. Lean Six Sigma is renowned for its dual focus on eliminating waste (Lean) and reducing variability (Six Sigma), making it an ideal choice for enhancing operational efficiency. Its deployment was critical in systematically identifying inefficiencies and implementing improvements across the association's operations. The process involved:

  • Mapping out all organizational processes to identify non-value-adding activities that could be eliminated or streamlined.
  • Applying Six Sigma tools to analyze process data, identify sources of variability, and implement solutions to reduce this variability.
  • Training key staff in Lean Six Sigma principles to ensure ongoing improvement efforts beyond the scope of the initial project.

In parallel, the association utilized the Theory of Constraints (TOC) to pinpoint and address the most critical bottlenecks that were impeding operational flow. By focusing on these constraints, the organization could achieve significant improvements in operational efficiency without major investments or overhauls.

  • Identified the most significant operational bottlenecks through data analysis and staff interviews.
  • Redesigned processes to alleviate these bottlenecks, such as automating manual membership renewal notifications and streamlining content publication workflows.

The combination of Lean Six Sigma and the Theory of Constraints yielded remarkable results in operational efficiency. The targeted interventions led to a 30% reduction in operational costs and a 50% decrease in process variability, contributing to a smoother, more efficient operation that could reallocate resources to member value-adding activities. This strategic initiative not only achieved its cost-cutting goals but also laid the groundwork for a culture of continuous improvement within the organization.

Segmented Membership Models

Implementing segmented membership models required a deep understanding of the diverse needs and preferences of the association's members, for which the organization turned to the Jobs to be Done (JTBD) framework. This framework focuses on understanding the specific 'jobs' members hire the association to do for them, whether it's for networking, continuing education, or career advancement. It was pivotal in identifying unmet needs and designing membership packages that addressed them. The team executed the JTBD framework with these steps:

  • Conducted interviews and surveys with current and prospective members to uncover the underlying 'jobs' they needed the association to fulfill.
  • Analyzed the data to identify common jobs across different member segments, such as the need for more flexible learning options or specialized career development tracks.
  • Designed and launched new membership packages tailored to these jobs, including options for digital-only access, tiered membership levels, and industry-specific interest groups.

Alongside JTBD, the organization employed the Segmentation, Targeting, and Positioning (STP) model to effectively market these new membership models to the right segments. By understanding how to segment the market, target the right members, and position the membership packages appropriately, the association could ensure that its offerings were compelling and competitive.

  • Segmented the member base and potential market according to demographics, professional needs, and preferences for engagement with the association.
  • Targeted specific segments with tailored marketing messages that highlighted the unique value of the new membership packages.
  • Positioned the association as a forward-thinking, member-centric organization that understands and meets the evolving needs of healthcare professionals.

The successful implementation of the JTBD framework and STP model led to the creation and effective marketing of segmented membership models, which resonated well with both existing and potential members. Within a year of launching the new models, the association saw a 20% increase in new memberships and a significant improvement in member satisfaction scores, especially among younger professionals who valued flexibility and specialization in their membership.

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Key Findings and Results

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

  • Increased membership renewals by 25% following the digital transformation initiative that enhanced the member experience.
  • Reduced operational costs by 30% through the application of Lean Six Sigma and the Theory of Constraints methodologies.
  • Achieved a 50% decrease in process variability, contributing to smoother and more efficient operations.
  • Launched segmented membership models, resulting in a 20% increase in new memberships within one year.
  • Recorded a 40% increase in active engagement on the digital platform, indicating higher member satisfaction and interaction.

The strategic initiatives undertaken by the professional association have yielded significant positive outcomes, most notably in reversing the trend of declining memberships and reducing operational costs. The 25% increase in membership renewals and a 20% rise in new memberships are clear indicators of the success in enhancing the value proposition for healthcare professionals. This success can be attributed to the effective digital transformation that improved the member experience and the introduction of segmented membership models that catered to diverse needs. However, while the reduction in operational costs and process variability marks progress in efficiency, it raises questions about long-term sustainability and the potential need for further innovation in service delivery to maintain competitiveness. The significant increase in digital engagement also underscores the importance of continuous investment in technology to meet evolving expectations.

Given these results, the next steps should focus on consolidating gains while addressing areas for improvement. It is recommended to continue investing in digital platforms and technologies to keep pace with industry trends and member expectations. Additionally, exploring new revenue streams, such as partnerships with healthcare organizations for exclusive content or services, could further enhance the association's value proposition. To sustain operational efficiency gains, a culture of continuous improvement should be fostered, possibly through regular training in Lean Six Sigma principles for staff. Finally, conducting periodic market research will be crucial to stay ahead of emerging needs and preferences of healthcare professionals, ensuring the association remains relevant and competitive.

Source: Strategic Growth Plan for Professional Association in Healthcare Sector, Flevy Management Insights, 2024

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