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Flevy Management Insights Case Study
Strategic Growth Plan for IT Solutions Provider Targeting Healthcare


There are countless scenarios that require Enterprise Performance Management. Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Enterprise Performance Management 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: The company, a burgeoning IT solutions provider specializing in healthcare in North America, is encountering critical barriers in enterprise performance management as it scales.

Internally, the company is struggling with a 20% inefficiency in project delivery times and a 25% increase in operational costs over the past two years. Externally, it faces stiff competition from established tech giants and emerging startups, chipping away at its market share by 15% in the same period. The primary strategic objective of the organization is to streamline its operational efficiency, adopt cutting-edge technologies, and expand its market share within the healthcare sector by leveraging digital transformation and strategic partnerships.



This organization, at a pivotal juncture of its journey, is navigating the complexities of rapid technological evolution and changing market demands. The underlying issues seem to stem from an inadequate focus on enterprise performance management and a lack of alignment between its technology strategy and the needs of the healthcare sector it aims to serve. Addressing these challenges requires a strategic shift towards innovation, agility, and customer-centric solutions.

Strategic Planning Analysis

The IT industry, especially within the healthcare sector, is experiencing unprecedented growth, propelled by digital transformation and the increasing demand for healthcare technology solutions post-pandemic.

Examining the competitive landscape reveals:

  • Internal Rivalry: High, with a mixture of established corporations and nimble startups vying for market share.
  • Supplier Power: Moderate, due to the availability of numerous technology platforms and tools, although specialized healthcare IT solutions have fewer suppliers, increasing their bargaining power.
  • Buyer Power: High, as healthcare providers have a wide array of IT solutions to choose from, enabling them to demand higher quality and lower prices.
  • Threat of New Entrants: Moderate to high, given the low barriers to entry for digital solutions but higher for specialized healthcare IT solutions.
  • Threat of Substitutes: Moderate, due to the specificity of some healthcare IT solutions, although generic IT solutions pose a considerable threat.

Emergent trends include:

  • Acceleration of digital healthcare platforms, offering both opportunities for market expansion and risks related to rapid technology obsolescence.
  • Increasing importance of data security and privacy in healthcare, presenting opportunities for specialized IT solutions but also risks from stringent regulatory requirements.
  • Rising demand for interoperability among healthcare IT systems, creating opportunities for integration services but risks in the complexity of implementation.

A STEEPLE analysis highlights significant technological advancements, evolving regulatory landscapes, and changing economic conditions as key external factors influencing the industry.

Learn more about Digital Transformation STEEPLE Competitive Landscape

For effective implementation, take a look at these Enterprise Performance Management best practices:

Objectives and Key Results (OKR) (23-slide PowerPoint deck)
Closing the Strategy-to-Performance Gap (20-slide PowerPoint deck)
Performance-driven Culture (26-slide PowerPoint deck)
Performance Vs. Trust Matrix (100-slide PowerPoint deck)
McKinsey Business Systems Framework (156-slide PowerPoint deck)
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Internal Assessment

The organization has demonstrated strong capabilities in developing IT solutions tailored to healthcare but is hindered by operational inefficiencies and a slow pace of technology adoption.

Benchmarking Analysis against industry leaders reveals a gap in innovation, customer engagement strategies, and enterprise performance management practices, leading to missed opportunities for growth and efficiency.

The Gap Analysis indicates that the company needs to improve in areas of digital transformation, strategic partnerships, and operational agility to meet the evolving demands of the healthcare industry.

McKinsey 7-S Analysis uncovers misalignments between strategy, structure, and systems, particularly in leveraging technology and talent to drive innovation and operational excellence.

Learn more about Operational Excellence Performance Management

Strategic Initiatives

  • Adopt a Lean Digital Transformation Framework: This initiative aims to accelerate the adoption of emerging technologies and streamline operations. The expected impact is enhanced agility, reduced costs, and improved project delivery times. The value creation comes from operational efficiencies and the ability to quickly adapt to market changes. Resources needed include investments in technology platforms and training for staff on agile methodologies.
  • Establish Strategic Partnerships with Healthcare Providers: By collaborating closely with healthcare providers, the company can better understand and anticipate market needs, leading to more innovative and customer-centric solutions. The initiative intends to increase market share and customer loyalty. The source of value lies in co-developing solutions that address specific healthcare challenges, requiring resources for partnership development and joint innovation teams.
  • Implement an Enterprise Performance Management System: Focused on improving decision-making and operational efficiency, this initiative will introduce advanced analytics and performance metrics across all levels of the organization. The impact envisaged is a more responsive and data-driven organization. The value creation stems from enhanced strategic alignment and operational excellence, necessitating investment in performance management software and analytics expertise.

Learn more about Enterprise Performance Management Agile Customer Loyalty

Enterprise Performance Management 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.


Tell me how you measure me, and I will tell you how I will behave.
     – Eliyahu M. Goldratt

  • Project Delivery Time Reduction: A critical measure of operational efficiency and effectiveness in adopting lean digital transformation practices.
  • Market Share Growth: Indicates the success of strategic partnerships and customer-centric solutions in expanding the company's presence in the healthcare sector.
  • Employee Engagement Scores: Reflect the organizational health and effectiveness of internal alignment efforts post-implementation of the enterprise performance management system.

These KPIs offer insights into the company's progress towards operational excellence, market expansion, and organizational alignment, guiding future strategic decisions.

For more KPIs, take a look at the Flevy KPI Library, one of the most comprehensive databases of KPIs available. Having a centralized library of KPIs saves you significant time and effort in researching and developing metrics, allowing you to focus more on analysis, implementation of strategies, and other more value-added activities.

Learn more about Flevy KPI Library KPI Management Performance Management Balanced Scorecard

Enterprise Performance Management Best Practices

To improve the effectiveness of implementation, we can leverage best practice documents in Enterprise Performance Management. These resources below were developed by management consulting firms and Enterprise Performance Management subject matter experts.

Enterprise Performance Management Deliverables

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

  • Digital Transformation Roadmap (PPT)
  • Strategic Partnership Framework (PPT)
  • Enterprise Performance Management Implementation Plan (PPT)
  • Market Expansion Financial Model (Excel)

Explore more Enterprise Performance Management deliverables

Lean Digital Transformation Framework

The implementation team employed the Value Chain Analysis as a foundational framework to guide the Lean Digital Transformation initiative. Value Chain Analysis, originally proposed by Michael Porter, was instrumental in understanding how activities within the company add value to its services and products. This framework was particularly relevant for identifying and eliminating waste in operations, thereby streamlining processes to enhance agility and reduce costs. The team meticulously applied the framework with the following steps:

  • Dissected the company's operations into primary and support activities to pinpoint areas where digital technologies could optimize performance and reduce redundancies.
  • Evaluated each activity for its contribution to customer value and its cost efficiency, prioritizing those with high value-add and high cost for immediate transformation.
  • Implemented digital tools and agile methodologies in identified high-priority areas, closely monitoring the impact on operational efficiency and customer satisfaction.

Another framework that played a crucial role was the Resource-Based View (RBV). RBV helped the company to assess its internal capabilities and resources in the context of achieving a sustainable competitive advantage through digital transformation. The application of RBV ensured that the digital transformation initiative capitalized on the company’s unique strengths. The implementation process involved:

  • Conducting a comprehensive inventory of the company's resources, including technological assets, employee skills, and organizational capabilities.
  • Assessing the potential of these resources to provide a competitive advantage in the digital landscape of the healthcare IT sector.
  • Aligning digital transformation efforts with those resources identified as most strategically valuable, ensuring that investments were made in areas likely to yield the highest returns.

The combined application of Value Chain Analysis and Resource-Based View frameworks significantly enhanced the effectiveness of the Lean Digital Transformation initiative. As a result, the company not only achieved a reduction in project delivery times by 30% but also realized a 20% decrease in operational costs. These improvements were instrumental in enhancing the company’s competitive position in the healthcare IT market.

Learn more about Competitive Advantage Customer Satisfaction Value Chain Analysis

Strategic Partnerships with Healthcare Providers

To effectively establish and manage strategic partnerships with healthcare providers, the company adopted the Ecosystem Strategy framework. This approach, recognizing the company as part of a larger network of entities contributing to healthcare innovation, was crucial for identifying potential partners and understanding the dynamics of collaboration. The Ecosystem Strategy framework was beneficial for mapping out the interdependencies and value exchanges between the company and its partners, ensuring mutually beneficial relationships. The team implemented the framework through:

  • Mapping the healthcare IT ecosystem to identify key players, including potential partners, competitors, and regulatory bodies.
  • Assessing the strategic goals and capabilities of potential partners to ensure alignment with the company’s objectives.
  • Developing collaboration models that outlined the roles, contributions, and benefits for each partner, fostering a cooperative environment.

Additionally, the company utilized the Core Competence Model to leverage its unique strengths in developing partnerships. This model, focusing on the company’s distinctive capabilities that provide competitive advantage, guided the selection of partnership opportunities where the company could offer the most value. The application involved:

  • Identifying the company’s core competencies in healthcare IT solutions through an internal assessment.
  • Evaluating potential partnerships where these competencies could address unmet needs or enhance service offerings.
  • Structuring partnerships to emphasize the company’s contributions, ensuring that these collaborations highlighted and utilized its core competencies.

The strategic application of the Ecosystem Strategy and Core Competence Model frameworks enabled the company to establish impactful partnerships with healthcare providers. These collaborations not only expanded the company’s market reach but also enhanced its reputation as a leader in innovative healthcare IT solutions. Through these partnerships, the company experienced a 15% growth in market share within the healthcare sector, validating the effectiveness of the strategic initiative.

Learn more about Core Competencies Core Competence Distinctive Capabilities

Enterprise Performance Management System Implementation

The company chose to implement the Enterprise Performance Management System using the Objectives and Key Results (OKR) framework. The OKR framework, known for its focus on setting and communicating clear and measurable goals, was pivotal in aligning the organization’s efforts towards enhanced performance management. This framework was particularly useful for breaking down strategic objectives into specific, quantifiable outcomes that could be tracked and evaluated. The implementation process included:

  • Defining strategic objectives for each department that aligned with the overall goal of improving operational efficiency and market competitiveness.
  • Establishing key results for each objective, with specific metrics to measure progress and success.
  • Regularly reviewing progress towards these key results, facilitating agile adjustments to strategies and tactics as needed.

In conjunction with OKRs, the Balanced Scorecard framework was revisited to ensure a holistic approach to performance management, covering financial, customer, internal process, and learning and growth perspectives. However, as per the guidelines, this framework's detailed implementation is not discussed. The rigorous application of the OKR framework within the Enterprise Performance Management System initiative led to a marked improvement in strategic alignment across the company. Departments were more interconnected in their efforts, leading to a 25% improvement in project delivery efficiency and a 10% increase in customer satisfaction scores. These outcomes underscored the value of a structured approach to enterprise performance management in driving organizational success.

Learn more about Balanced Scorecard Objectives and Key Results

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Key Findings and Results

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

  • Reduced project delivery times by 30% through the implementation of the Lean Digital Transformation Framework.
  • Decreased operational costs by 20% by optimizing processes and eliminating redundancies.
  • Achieved a 15% growth in market share within the healthcare sector through strategic partnerships with healthcare providers.
  • Improved strategic alignment across the company, leading to a 25% increase in project delivery efficiency.
  • Increased customer satisfaction scores by 10% following the implementation of an Enterprise Performance Management System.

The initiative's results are largely successful, demonstrating significant improvements in operational efficiency, market share, and customer satisfaction. The 30% reduction in project delivery times and the 20% decrease in operational costs directly address the company's initial challenges of inefficiency and rising costs. The growth in market share signifies the effectiveness of strategic partnerships in expanding the company's footprint in the healthcare sector. However, while the increase in project delivery efficiency and customer satisfaction are positive outcomes, they highlight an area for potential improvement in directly correlating these improvements with financial performance metrics. The success in operational and market performance could have been further amplified by a more aggressive adoption of emerging technologies and a deeper focus on innovation to stay ahead of the competition.

For next steps, it is recommended to further leverage data analytics and artificial intelligence to enhance decision-making and operational efficiency. Investing in innovation labs could foster a culture of continuous improvement and experimentation, ensuring the company remains at the forefront of technological advancements. Additionally, expanding the scope of strategic partnerships beyond healthcare providers to include technology innovators and academic institutions could provide access to cutting-edge research and development, further solidifying the company's position as a leader in healthcare IT solutions.

Source: Strategic Growth Plan for IT Solutions Provider Targeting Healthcare, Flevy Management Insights, 2024

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