Service Line Growth and Transformation

Kaufman Hall is an experienced trusted advisor in the oncology space. The firm serves nearly all the top dedicated cancer centers across the country, as well as a range of community oncology providers and health systems with robust oncology service lines. Services are broad and deep and include: strategic and financial planning, operational improvement/excellence including services optimization, clinical/quality consulting, partnership development and expansion, and leadership and governance structures.

Our experience:

Strategy development and planning, including tactical planning 

• Facilitated and managed a complex strategic planning process for a leading NCI-designated cancer center 
• Strategic planning to support the de novo build of a new cancer center 
• Developed a variety of strategic and tactical plans for disease site-specific programs (breast,GI, lung, etc.) 
• Developed a plan for a community health system to stand up an oncology program
• Created a strategic plan for a large regional health system challenged with access issues 

Partnerships 

• Developed a partnership strategy for a regional health system seeking to establish a cancer program with an academic medical center that operates a nationally ranked cancer program
• Ledpartnership initiatives including identifying opportunities, articulating the vision and value, developing economic modeling to support partnership decisions, and advising on optimal partnership structures
• Collaborated with a diverse range of partners including NCI-designated cancer centers, regional and community health systems, standalone hospitals, and physician groups
• Engagedwith leading cancer centers across the country to design and implement complex, strategic partnerships

Operational planning

• Advised on leadership and governance structures for a large health system that had both employed and aligned physician partners
• Developed a comprehensive cancer program evaluation for a leading academic medical center to include making operational, clinical, strategic and funds flow recommendations; developed the tactical/action plan to support improvements and close gaps

Kaufman Hall is a trusted and experienced advisor in the cardiovascular space, serving a wide array of health systems and providers with robust cardiovascular service lines, CV Clinical Institutes and Centers of Excellence. Our expertise and tailored approach help health systems optimize their cardiovascular service lines, ensuring they are financially viable, strategically aligned, operationally optimized and clinically excellent.

Our experience:

• Provided insights on the path forward for high-priority cardiovascular sub-specialties, such as Cardiothoracic Surgery, Electrophysiology, Interventional Cardiology, and the cardiology referrals that support these subspecialists
• Created 5- and 10-year projections for targeted cardiovascular sub-specialties, analyzing current supply and future demand
• Developed detailed strategic plan that includes prioritization and specific tactics for the cardiovascular service line
• Facilitated interactive workshops with the cardiovascular team to align on current and future market assessments, competitive landscapes, service line barriers, and potential threats
• Engaged cardiovascular leaders in the development of strategic initiatives and prioritization, ensuring alignment with the service line vision and the broader system vision
• Delivered recommendations for the cardiovascular service line governance structure
• Provided detailed assessment and recommendations for establishing a Heart and Vascular Institute, covering organizational structure, financial incentives, programmatic investments, and leadership roles
• Organized and delivered recommendations for the distribution of cardiac surgery programs across multi-hospital systems, leading to modifications in the locations of cardiac surgery services
• Evaluated the financial contribution of the cardiovascular service line to the broader health system

Kaufman Hall is an experienced trusted advisor across the Neuroscience space. Our experts have supported health systems across the country develop and expand neuroscience service offerings from expansion of current programs to development of Neuroscience Centers of Excellence and Institutes. Services are broad and deep and include: strategic and financial planning, operational improvement/excellence including services optimization, clinical/quality consulting, partnership development and expansion, and leadership and governance structures.

Our experience:

• Developed Neuroscience strategy for a academic medical center interested in developing a Neuroscience Center of Excellence
• Facilitated the business case development as well as the programmatic roadmap for a Neuroscience Institute as a large academic medical center in the Midwest
• Provide strategic planning guidance support including market and financial analysis for programmatic expansion of services for a variety of health systems across the nation

Kaufman Hall is the trusted advisor for Women’s Health programs nationwide, as they evaluate strategic visions and service line planning to navigate a rapidly evolving healthcare landscape. Our experience in leading health systems through visioning, strategy development and tactical/operational planning for Women’s Health service lines is vast and deep.

Our experience:

• Developed a strategic plan for a multi-hospital system seeking to formalize their Women’s Health service line and build a first-ever strategic plan
• Recommended consolidation strategies for a large health system looking to optimize their services through strategic distribution and rationalization. The focus of the project included L&D programs, NICUs and physician offices
• Collaborated with a large health system to define how to expand Women’s Services from a focus on OB/GYN and L&D services to a more broad, full-continuum Women’s Health service line

Kaufman Hall’s experience advising Children’s hospitals spans strategic, financial, partnership, and operational engagements. We have partnered with nearly all the standalone Children’s hospitals and many Children’s health programs within larger health systems. Because of this expansive experience over decades, we understand the unique issues that providers of pediatric care face.

Our experience:

• Advised Duke Children’s in its partnership with UNC Children’s to develop the first freestanding Children’s hospital in North Carolina
• Advised multiple leading Children’s hospitals in development of consumer-driven pricing strategies
• Supported development of strategic plan and partnered on implementation of strategic plan for international Children’s specialty hospital organization
• Facilitated the development of a 10-Year Future State to inform strategic planning for a leading regional Children’s hospital
• Provided M&A and strategy advisory services for a Midwest health system's pediatrics platform, including a strategic options assessment and evaluation of potential merger and acquisition opportunities

Kaufman Hall has unparalleled breadth and depth of experience in healthcare strategy and financial planning, powered by our clinical, operational, financial and market analytics along with our Orthopedic and service line experts. Our service line strategic planning approach, combined with our understanding of national and regional trends and our perspective on next generation Orthopedic programs. As disruption within the orthopedic service line continues, health systems will be required to keep pace with disruptors to remain competitive but must also selectively invest to maximize ROI and differentiation in the marketplace.

Our advising experience includes:

• Development of a jointly owned MSO to support orthopedic providers across regional health system and 200+ physician regional orthopedic group
• Regional health system in its evaluation to acquire 20+ physician ortho group
• Physician group in its sale to a large physician aggregator (200+ physician multispecialty group with 3 ASCs & proceduralists)
• Health system in the development of a joint venture (including ASC) with a multi-state orthopedic group
• Community health system in its sale of two ASCs to a regional health system

Kaufman Hall is a trusted and experienced advisor in the behavioral health space. Our services are broad and deep, encompassing strategic and financial planning, facilities assessments, and partnership development and expansion. In addition, we provide comprehensive M&A advisory services tailored specifically to behavioral health organizations. These include sell-side advisory, buy-side advisory, and joint venture structuring and execution. Our deep sector expertise and collaborative approach enable clients to navigate complex transactions and achieve their strategic growth objectives.

Our experience:

• Behavioral health planning for a regional hospital
• M&A advisory for behavioral health businesses, inclusive of sell side, buy side or joint venture advisory
• Comprehensive assessment which included detailed analysis of growth opportunities, current resource utilization, and service distribution
• Market and facilities assessment

Our strategic and tactical plan development services are broad and deep for one service line or multiple service lines.

Our experience includes:

• Helping clients build growth plans for one or multiple service lines
• Developing tactical/implementation plans to support strategic plans
• Advising on approaches for building the right operating model to drive sustainability and true differentiation
• Recommending approaches for aligning and engaging physicians
• Developing an aligned vision for a service line 
• Creating tactical plans, in support of strategic plans, that include key metrics to measure/monitor

To be successful, we believe all service lines need to have a strong leadership and governance structure that enables aligned incentives and accountability.

Our experience includes:

• Developing and/or refining leadership and governance structures that support the strategic focus for the service line
• Recommending accountability structures(dashboards, KPIs, etc.) to ensure long-term success of implementation of strategic and tactical plans
• Building structures to ensure a successful implementation of strategic and tactical plans to include developing structures for measuring and monitoring success

Our service line planning approach integrates your service line strategy with the financial implications of that strategy. Our financial expertise is extensive and critical to developing actionable service line plans.

Some examples of the work we have done historically across a variety of services lines:

• Developing proformas for new program/services development, including capital planning and investment
• Developing service line financial statements, integrating several disparate data sources into one comprehensive income statement, to allow the organization to drive full financial accountability for management on a service line basis
• Conducting economic modeling for potential partnerships among health systems, academic medical centers or dedicated cancer centers
• Identifying financial improvement opportunities across service lines

With organizations realizing they can no longer be all things to all people, service optimization has become important to long-term success.

We help organizations:

• Optimize services that exist today with a focus on operational, strategic and financial optimization
• Strategically distribute services to achieve smart growth
• Identify rationalization opportunities
• Develop a plan for operational and quality improvements to ensure optimization across the service line, across the system