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Which framework to use? "Whether or not 2 Hospital's should merge"

Hi everyone, 

I will probably get a case regarding whether or not 2 hospitals should merge together. I've never done a case interview before and I'm kind of drowning in how to do it. As far as I can tell I will get a 'briefing' with the case information and then have around 15 min to structure a presentation/pitch; so not a lot of time. 

And then the second part is implementation strategy, given that I would go ahead with the merger. So a timeline with how long the merger would take and which stakeholders 
- which stakeholders and why
- where in the timeline and why 
 

Help is greatly apprechiated!!!! 

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German
Coach
on Dec 12, 2024
Ex McKinsey, Kearney | 100+ Interviews Conducted | Inhouse Consulting | Global Perspective

Hey!
When tackling this case, think from first principles. Break the problem into logical steps:

1. Why merge?

Understand the problem or goal the merger aims to address. Common reasons include:

  • Operational efficiency gains (e.g., shared central resources like labs, procurement).
  • Cost reduction through economies of scale.
  • Improved patient outcomes (e.g., combining specialties or expertise).
  • Market positioning to strengthen competitiveness or expand geographic reach.

2. Should they merge?

Based on the identified goal, analyze whether the merger will achieve it. Focus on quantitative data provided in the briefing (e.g., cost savings projections, patient volume increases). Form hypotheses and test them against the data to justify the merger.

3. Can they merge?

Evaluate feasibility:

  • Financial resources: Can they afford the upfront costs of merging (e.g., integration costs)?
  • Time and leadership bandwidth: Are stakeholders aligned, and is the timeline realistic?
  • Cultural and operational fit: Will their structures and processes integrate well?

4. Consider alternatives

If the goal is, for example, higher cost efficiency, explore whether other solutions (e.g., outsourcing, partnerships, process optimization) could achieve the same outcome with fewer risks or costs.

Implementation strategy:

For the timeline and stakeholders, focus on:

  • Key phases: Planning, integration, monitoring outcomes.
  • Stakeholders: Leadership (for strategy), medical staff (for operations), patients (for communication and care continuity).
  • Timeline reasoning: Base the order and duration of phases on complexity and resource availability.

Approach the case step by step, stay structured, and link your recommendations to clear reasoning.

Good luck! ;)

Alessa
Coach
on Dec 15, 2024
xMcKinsey & Company | xBCG | +200 individual & group coachings | feel free to schedule a 15 min intro call for free

Hey Pauline!

 

For a case on whether two hospitals should merge, you can use a structured approach to quickly outline your analysis within the limited timeframe:

  1. Initial Structuring (15 min):
    • Financial Synergies: Assess the potential cost savings, revenue enhancements, and efficiencies that a merger could bring (e.g., shared administrative costs, economies of scale in purchasing, increased patient volumes).
    • Operational Synergies: Examine how the merger would streamline operations, reduce redundancies, and improve service delivery. Consider factors like shared medical facilities, consolidated staff, and improved care pathways.
    • Cultural Fit: Evaluate the alignment of values, management styles, and cultures between the two hospitals. A smooth integration depends heavily on these aspects to avoid resistance and foster collaboration.
    • Regulatory and Legal Considerations: Understand any legal hurdles, regulatory approvals required for the merger, and potential antitrust implications.
  2. Implementation Strategy (if the merger is deemed viable):
    • Timeline: Outline the key phases of the merger process — from negotiation and approval to integration planning, execution, and post-merger review.
    • Stakeholders: Identify critical stakeholders (e.g., hospital management, medical staff, administrative staff, regulatory bodies, community stakeholders) and their roles throughout the process. Address their concerns, communicate the vision for the merger, and engage them early to build buy-in.
    • Risk Management: Highlight potential challenges such as cultural clashes, financial risks, and operational disruptions, and propose strategies to mitigate these risks.
    • Metrics for Success: Define how success will be measured post-merger, including financial targets, operational improvements, and patient satisfaction levels.

This structured approach allows you to quickly assess the viability of the merger and outline a clear strategy for implementation if you recommend moving forward.

Good luck! Alessa :)

on Dec 16, 2024
Thank you so much! I was wondering which clarifying questions you would be most interested to ask? I know it's a bit of a tricky one without all the information at hand now, but based on your experience. On the internet it's often regarding the product you are selling or the types of customers, but with a hospital that is a bit more complex. Thanks in advance
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