Flevy Management Insights Case Study
Customer-Centric Strategy for Healthcare Provider in Pediatric Services


Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Total Shareholder Value 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TLDR A pediatric healthcare provider saw declining shareholder value from increased competition and outdated tech, leading to lower patient volume and higher costs. By implementing digital health platforms and enhancing patient experience, the organization improved satisfaction and operational efficiency. However, the long-term sustainability and financial impact are still under evaluation.

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Consider this scenario: A specialized healthcare provider in pediatric services is facing a decline in total shareholder value due to increased competition and changing healthcare regulations.

The organization has witnessed a 20% decrease in patient volume and a 15% increase in operational costs over the past two years. External challenges include a highly competitive healthcare market with new entrants offering similar pediatric services, and evolving healthcare policies that increase compliance costs. Internally, the provider struggles with outdated technology systems that affect patient experience and operational efficiency. The primary strategic objective is to enhance patient experience through innovation and operational excellence, aiming to increase patient volume and reduce costs.



This organization, despite its esteemed position in the pediatric healthcare sector, finds itself at a crossroads. A deeper dive points to outdated technology and insufficient patient-centric strategies as potential culprits behind its stagnating growth. The leadership is concerned that without a renewed focus on innovation and patient experience, the organization may continue to lose ground to competitors.

Industry Analysis

The healthcare industry, particularly pediatric services, is undergoing rapid transformation, fueled by technological advancements and changing consumer expectations. The landscape is increasingly competitive, with new players introducing innovative healthcare models.

We begin our analysis by examining the competitive dynamics of the industry:

  • Internal Rivalry: High, as numerous pediatric service providers vie for market share, often differentiating based on service quality and technological adoption.
  • Supplier Power: Moderate, with healthcare providers having multiple options for medical supplies and technology solutions but facing potential price hikes due to specialized pediatric equipment.
  • Buyer Power: High, given patients' access to a wide range of healthcare providers and the increasing role of patient choice in healthcare decisions.
  • Threat of New Entrants: Moderate, due to the significant regulatory and financial barriers to entry, but mitigated by the emergence of telehealth and other non-traditional healthcare models.
  • Threat of Substitutes: Low, as the specialized nature of pediatric care limits direct substitutes, but increased by alternative healthcare models like home care services.

Emerging trends include a shift towards digital health solutions, patient-centric care models, and preventive healthcare. These trends indicate major changes in industry dynamics:

  • Increased adoption of telehealth: Offering opportunities to reach more patients while posing risks related to technology infrastructure and patient data security.
  • Focus on preventive care: This trend presents an opportunity to engage patients in long-term health management but requires investment in patient education and engagement strategies.
  • Regulatory changes: Ongoing healthcare reforms may offer opportunities for funding and partnerships but introduce compliance challenges and cost implications.

The STEEPLE analysis reveals technological advancements and regulatory changes as the most influential external factors, impacting how organizations deliver care and manage operations.

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Internal Assessment

The organization possesses strong pediatric expertise and a dedicated team but is hampered by outdated technology and a lack of patient-centric services.

SWOT Analysis

Strengths include specialized pediatric knowledge and a loyal patient base. Opportunities lie in leveraging technology to improve patient care and expanding services to meet emerging health trends. Weaknesses are seen in operational inefficiencies and outdated IT systems. Threats encompass rising competition and regulatory changes.

Value Chain Analysis

Analysis of the value chain highlights inefficiencies in patient intake and data management processes. Optimizing these areas through digital solutions can enhance patient experience and operational efficiency. Strengths are evident in clinical services and patient care, areas that directly impact patient satisfaction.

Gap Analysis

The gap analysis identifies discrepancies between current operational capabilities and the strategic goal of becoming a leader in patient-centric pediatric care. Key gaps include digital engagement strategies, patient experience initiatives, and technology infrastructure.

Strategic Initiatives

  • Implement Advanced Digital Health Platforms: This initiative aims to modernize patient care delivery through telehealth and digital patient engagement tools, improving accessibility and patient satisfaction. The expected value creation includes increased patient volume and reduced operational costs. Resources required include investments in technology infrastructure and training for staff.
  • Enhance Patient Experience: By focusing on patient-centric care models and service excellence, the organization intends to differentiate itself in a competitive market. The value lies in increased patient loyalty and referrals, contributing to revenue growth. This will require resources in staff training, process redesign, and customer feedback systems.
  • Operational Efficiency Program: Streamlining operations through process improvement and technology integration aims to reduce costs and improve service delivery. The expected financial value includes cost savings and increased total shareholder value. Resources needed encompass technology investments and change management efforts.

Total Shareholder Value 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.


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     – W. Edwards Deming

  • Patient Satisfaction Scores: Critical for measuring the impact of patient experience improvements.
  • Operational Cost Savings: Helps track the financial benefits of efficiency initiatives.
  • Technology Adoption Rate: Indicates the success of digital health platform implementations.

These KPIs offer insights into the effectiveness of strategic initiatives, highlighting areas of success and opportunities for further improvement. Monitoring these metrics closely will ensure the organization remains aligned with its strategic objectives.

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Total Shareholder Value Deliverables

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

  • Digital Health Implementation Plan (PPT)
  • Patient Experience Enhancement Framework (PPT)
  • Operational Efficiency Report (PPT)
  • Technology Infrastructure Roadmap (PPT)

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Implement Advanced Digital Health Platforms

The organization adopted the Diffusion of Innovations Theory to guide the implementation of advanced digital health platforms. Developed by Everett Rogers in 1962, this theory explains how, over time, an idea or product gains momentum and spreads through a specific population or social system. The decision to use this framework was based on its effectiveness in understanding the adoption of technological innovations in healthcare settings. The team aimed to identify factors that would influence the adoption rate of the new digital health platforms among both staff and patients.

Following the principles of the Diffusion of Innovations Theory, the organization executed the following steps:

  • Segmented the organization's stakeholders into categories based on their readiness to adopt new technologies, such as innovators, early adopters, early majority, late majority, and laggards.
  • Developed targeted communication strategies for each segment, focusing on the relative advantages of the digital health platforms, their compatibility with existing workflows, the simplicity of their use, and the potential for trialability.
  • Monitored adoption rates and gathered feedback through surveys and focus groups, adjusting strategies as needed to address concerns and barriers to adoption.

The organization also utilized the Resource-Based View (RBV) to ensure that the digital health platform initiative capitalized on its unique resources and capabilities. RBV, a strategic management framework, emphasizes the importance of valuable, rare, inimitable, and non-substitutable resources in gaining and sustaining competitive advantage. This perspective was crucial for understanding how the organization's existing strengths could support the successful implementation and scaling of digital health technologies.

Applying the Resource-Based View involved:

  • Conducting an internal audit to identify resources that could be leveraged to support the digital health initiative, such as technological infrastructure and staff expertise in pediatric care.
  • Assessing the organization's IT capabilities to determine if they were robust enough to support the new platforms, or if additional investments were necessary.
  • Developing a strategic plan to align these resources with the initiative, ensuring that the organization could effectively implement and maintain the new digital health platforms.

The implementation of the Diffusion of Innovations Theory and the Resource-Based View led to a successful rollout of the digital health platforms. Adoption rates exceeded initial projections, with early majority adoption achieved within six months. Feedback from both staff and patients highlighted the platforms' ease of use and effectiveness in improving patient care. This strategic initiative not only enhanced the organization's operational efficiency but also significantly improved patient satisfaction scores, demonstrating the value of these frameworks in guiding successful technology adoption in healthcare settings.

Enhance Patient Experience

To enhance the patient experience, the organization turned to the Kano Model as a guiding framework. The Kano Model, developed by Noriaki Kano in the 1980s, helps categorize customer preferences into five categories: Must-Be, One-Dimensional, Attractive, Indifferent, and Reverse. This framework was chosen for its ability to uncover hidden patient needs and expectations, thereby enabling the organization to prioritize improvements that would have the most significant impact on patient satisfaction.

Implementing the Kano Model, the organization undertook the following actions:

  • Conducted comprehensive surveys and interviews with patients and their families to identify different categories of needs and preferences related to pediatric healthcare services.
  • Analyzed the data to distinguish between basic expectations (Must-Be), performance factors (One-Dimensional), and delighters (Attractive) in the context of pediatric care.
  • Used these insights to redesign service offerings, focusing on introducing Attractive factors that could significantly enhance patient satisfaction, such as personalized care plans and engaging digital health education tools.

Additionally, the organization applied the Service Blueprint framework to map out all patient touchpoints and visualize the service process from the patient's perspective. This approach was instrumental in identifying inefficiencies and areas for improvement in the service delivery process.

By following the Service Blueprint framework, the organization:

  • Mapped the entire patient journey, from initial contact through post-treatment follow-up, highlighting visible actions, backstage actions, and support processes.
  • Identified bottlenecks and pain points in the patient journey that were previously unnoticed, such as lengthy wait times for appointments and inadequate communication regarding treatment plans.
  • Implemented targeted improvements at critical touchpoints, significantly reducing wait times and improving communication and coordination among care teams.

The application of the Kano Model and Service Blueprint significantly enhanced the patient experience. The strategic initiative led to a marked increase in patient satisfaction scores, with particular improvements noted in areas that had been identified as Attractive factors. Furthermore, the redesign of service processes, informed by the Service Blueprint, streamlined patient flow and increased operational efficiency, underscoring the effectiveness of these frameworks in enhancing both patient experience and organizational performance.

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Key Findings and Results

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

  • Exceeded initial adoption projections for digital health platforms, achieving early majority adoption within six months.
  • Significantly improved patient satisfaction scores, highlighting the platforms' ease of use and effectiveness in patient care.
  • Identified and implemented Attractive factors leading to marked increases in patient satisfaction, particularly through personalized care plans and digital health education tools.
  • Streamlined patient flow and increased operational efficiency by implementing targeted improvements at critical patient journey touchpoints.
  • Reduced wait times for appointments and enhanced communication regarding treatment plans, as informed by the Service Blueprint.

The strategic initiatives undertaken by the organization have led to notable successes, particularly in the adoption of digital health platforms and enhancements in patient experience. The successful application of the Diffusion of Innovations Theory and the Resource-Based View facilitated a rapid and effective adoption of new technologies, which not only improved operational efficiency but also significantly boosted patient satisfaction. The use of the Kano Model and Service Blueprint to understand and redesign the patient experience further contributed to these achievements, demonstrating the value of these frameworks in identifying and implementing improvements. However, while these results are commendable, the report does not fully address the long-term sustainability of these initiatives, particularly in the face of evolving healthcare technologies and patient expectations. Additionally, the financial impact of these initiatives on operational cost savings, a critical component of the strategic objective, is not clearly quantified, leaving a gap in understanding the full scope of their success.

Given the achievements and gaps identified, the next steps should focus on ensuring the long-term sustainability and financial viability of the implemented initiatives. This includes continuous monitoring and updating of digital health platforms to keep pace with technological advancements and changing patient needs. Further, a detailed financial analysis should be conducted to quantify the impact of these initiatives on operational costs and total shareholder value. To address potential gaps in long-term sustainability, the organization should consider exploring strategic partnerships with technology firms and investing in ongoing staff training to foster a culture of innovation and adaptability. Additionally, expanding patient feedback mechanisms will be crucial in continuously identifying areas for improvement and adapting services to meet evolving patient expectations.

Source: Customer-Centric Strategy for Healthcare Provider in Pediatric Services, Flevy Management Insights, 2024

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