Case studies
Problems, examined before they are solved
Each study states whose problem it is, how they meet it and what it costs them, before any solution appears. Every figure carries its basis, and where a risk has never been measured, the study says so instead of inventing a number for it.
A private hospital company that builds, operates and sells. One hospital left, cash from the rest, and a decision to take about where to build next.
Kestrel Pathways · Illustrative scenario Kestrel PathwaysA constructed employment, health and skills provider on payment by results: 74,000 referrals a year, three contracts carrying most of the revenue, and a funded measure that is not the thing it is trying to do.
How the studies are written
A case study usually starts with the result. These start with the problem, because a solution is only as good as the account of what it was solving. Each one sets out whose problem it is, how they meet it day to day, and what it costs them, before any method is chosen.
The method comes after that, not before. Sometimes it is DMAIC, improving a process that already exists; sometimes it is DMADV, designing one that does not exist yet. Where it matters, a study says which, and why.
What the labels mean
Each study says what it is. Meridian Hospital Group is our own project. Kestrel Pathways is an illustrative scenario: a constructed provider, built to show how the method meets a payment by results contract. Neither is presented as a client engagement.
Where the figures come from
Every figure carries its basis: a published source, a stated assumption, or a calculation shown on the page. Where a risk has never been measured, the study says so rather than inventing a number for it.