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1	
  
	
  
Expansion Recommendations
GREY MATTER
CONSULTING
v	
  
v	
  
v	
  
 
2	
  
TABLE	
  OF	
  CONTENTS	
  
Executive	
  Summary……………………………........................................................................3	
  
Introduction……………………………………………………………………………………………………………..4	
  	
  
Business	
  Description………………………………………..………………………………………………..…….4	
  
Business	
  Problem……………………………………………................................................4	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Project	
  Description.……………………………………………………………………………….........5	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Project	
  Objectives……………………………………………...............................................6	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
SWOT	
  Analysis...................................................................................................6	
  	
  
Porter’s	
  5	
  Forces	
  Analysis…………………………….……….……………..……………………...7	
  	
  
Initial	
  Market	
  Research	
  &	
  Analysis……………….…...…….................................................8	
  	
  
Decision	
  Matrix……………………………………………................................................10	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Rationale	
  Behind	
  Strategy.…………………………..................................................12	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
	
  Decision	
  Matrix	
  Results…………………………………..............................................14	
  	
  	
  
Houston	
  Analysis…………………………………………………………………………………………………….15	
  
Atlanta	
  Analysis………………………………………………………..…………………………………………….17	
  
Birmingham	
  Analysis……………………….………………………………………………..……………………20	
  
Baton	
  Rouge	
  Analysis…………………………………………………………………………………..…………24	
  
Marketing	
  Budget……………………………………………………………………………………………………24	
  
Conclusions	
  and	
  Final	
  Recommendation…………………………………………………………………25	
  
Appendix…………………………………………………………………………………………………………………26	
  
Spreadsheet……….…………………………………………………………………………..……………26	
  
PowerPoint	
  Slides…………………………………………………………………………..……………29	
  
Project	
  Charter………………………………………………………………………………..…………..33	
  
Bibliography…………………………………………………………………………………………………………….39	
  
	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
  
	
   	
   	
   	
   	
   	
   	
   	
   	
  
 
3	
  
	
  
	
  
	
  
	
  
	
  
RESEARCH	
  &	
  ANALYSIS	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
In	
  this	
  report,	
  we	
  have	
  examined	
  twelve	
  possible	
  cities	
  for	
  expansion,	
  and	
  evaluated	
  the	
  attractiveness	
  
of	
  each.	
  Twelve	
  cities	
  were	
  superficially	
  evaluated	
  to	
  find	
  the	
  three	
  best	
  options	
  for	
  BDH	
  through	
  an	
  
intensive	
  decision	
  matrix.	
  We	
  then	
  researched	
  each	
  of	
  these	
  three	
  cities	
  to	
  determine	
  the	
  best	
  
opportunity	
  for	
  expansion	
  and	
  input	
  them	
  in	
  a	
  second	
  decision	
  matrix	
  to	
  determine	
  which	
  cities	
  were	
  
the	
  most	
  attractive.	
  	
  
HOUSTON	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Houston	
  is	
  the	
  most	
  attractive	
  market	
  for	
  BDH	
  to	
  enter	
  due	
  to	
  its	
  strong	
  results	
  in	
  the	
  decision	
  matrix.	
  
Houston’s	
  large	
  presence	
  of	
  university	
  hospitals	
  and	
  orthopedic	
  clinics—a	
  specialized	
  area	
  BDH	
  has	
  
already	
  successfully	
  entered,	
  as	
  well	
  as	
  its	
  large	
  total	
  population,	
  makes	
  it	
  a	
  strong,	
  viable	
  market	
  for	
  
BDH.	
  
ATLANTA	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Atlanta	
  ranked	
  second	
  in	
  our	
  overall	
  decision	
  matrix	
  as	
  it	
  showed	
  strong	
  results	
  across	
  almost	
  all	
  of	
  our	
  
categories.	
  	
  With	
  a	
  large	
  population,	
  the	
  Emory	
  University	
  system,	
  and	
  many	
  additional	
  opportunities	
  
for	
  BDH	
  to	
  expand	
  and	
  grow,	
  Grey	
  Matter	
  Consulting	
  has	
  pegged	
  Atlanta	
  as	
  the	
  second	
  most	
  attractive	
  
market	
  in	
  the	
  Gulf	
  South	
  region.	
  	
  	
  
BIRMINGHAM	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Birmingham	
  is	
  the	
  third	
  most	
  attractive	
  city	
  for	
  BDH’s	
  expansion.	
  Birmingham	
  consistently	
  scored	
  
lower	
  than	
  both	
  Atlanta	
  and	
  Houston	
  in	
  the	
  decision	
  matrix	
  and	
  proves	
  to	
  be	
  a	
  smaller	
  city	
  with	
  less	
  
opportunity	
  of	
  success.	
  Nevertheless,	
  as	
  it	
  is	
  going	
  to	
  be	
  explained	
  later	
  in	
  detail,	
  Birmingham	
  has	
  
attractive	
  factors	
  that	
  are	
  beneficial	
  if	
  the	
  company	
  wants	
  to	
  initiate	
  their	
  expansion	
  with	
  a	
  small	
  
market.	
  	
  
MARKETING	
  BUDGET	
  &	
  CONCLUSION	
  	
   	
   	
   	
   	
   	
   	
  
Lastly,	
  we	
  investigated	
  the	
  normal	
  level	
  of	
  the	
  marketing	
  budget	
  for	
  companies	
  that	
  are	
  in	
  a	
  similar	
  
field	
  to	
  BDH.	
  This	
  helped	
  us	
  recommend	
  a	
  budget	
  to	
  BDH,	
  as	
  well	
  as	
  give	
  suggestions	
  as	
  to	
  how	
  they	
  
should	
  divide	
  the	
  budget	
  between	
  the	
  three	
  cities.	
  Overall,	
  this	
  report	
  details	
  where	
  BDH	
  should	
  
attempt	
  to	
  expand	
  to	
  next.	
  	
  
	
  
	
  
EXECUTIVE	
  SUMMARY	
  
	
  
Better	
  Day	
  Health	
  (BDH)	
  offers	
  an	
  Electronic	
  Healthcare	
  Record	
  (EHR)	
  system	
  that	
  has	
  
the	
  potential	
  to	
  spread	
  throughout	
  doctors’	
  offices	
  across	
  the	
  country.	
  To	
  this	
  end,	
  
BDH	
  must	
  expand	
  the	
  markets	
  they	
  reach.	
  	
  
 
4	
  
	
  
Business	
  Description	
  
Better	
  Day	
  Health	
  (BDH)	
  is	
  a	
  medical	
  technology	
  company	
  that	
  focuses	
  on	
  electronic	
  data	
  entry	
  and	
  
transcription	
   of	
   patient	
   health	
   records.	
   The	
   company	
   integrates	
   innovations	
   in	
   the	
   technology	
   and	
  
healthcare	
   industries	
   to	
   create	
   a	
   superior	
   platform	
   for	
   both	
   doctors	
   and	
   patients.	
   	
   The	
   company	
   is	
  
driving	
  a	
  completed	
  trial	
  version	
  of	
  its	
  technologies	
  through	
  two	
  separate	
  clinics	
  in	
  the	
  Lake	
  Charles	
  
area,	
  and	
  following	
  this	
  BDH	
  is	
  projecting	
  widespread	
  adoption	
  in	
  the	
  small	
  clinic	
  market	
  segment	
  due	
  
to	
  its	
  ease	
  of	
  use	
  and	
  ability	
  to	
  integrate	
  with	
  existing	
  technologies	
  in	
  hospitals	
  and	
  doctors’	
  offices.	
  	
  
Compounding	
   this,	
   BDH	
   has	
   also	
   begun	
   integration	
   with	
   the	
   LSU	
   medical	
   system,	
   therein	
   setting	
  
themselves	
  up	
  as	
  a	
  potential	
  niche	
  leader	
  in	
  medical	
  education.	
  With	
  these	
  advances,	
  BDH	
  has	
  set	
  itself	
  
up	
  for	
  success	
  in	
  its	
  goal	
  to	
  free	
  up	
  doctors	
  “from	
  being	
  the	
  most	
  expensive	
  data	
  clerks	
  on	
  the	
  market,”	
  
(Better	
  Day	
  Health).	
  	
  
INTRODUCTION	
  
Business	
  Problem	
  
BDH	
  knows	
  that	
  they	
  have	
  created	
  a	
  successful	
  
innovation	
  in	
  the	
  healthcare	
  industry.	
  Currently,	
  the	
  
company	
  is	
  looking	
  for	
  their	
  best	
  options	
  to	
  expand	
  their	
  
reach	
  of	
  this	
  product.	
  BDH	
  is	
  confident	
  that	
  they	
  are	
  
ready	
  to	
  expand	
  themselves,	
  but	
  they	
  lack	
  the	
  
knowledge	
  of	
  markets	
  outside	
  of	
  their	
  current	
  scope.	
  
They	
  require	
  an	
  analysis	
  of	
  both	
  the	
  demographics	
  and	
  
the	
  healthcare	
  industry	
  in	
  other	
  major	
  cities	
  around	
  the	
  
Southern	
  and	
  Eastern	
  regions	
  of	
  the	
  United	
  States,	
  in	
  
order	
  to	
  make	
  a	
  determination	
  of	
  the	
  best	
  cities	
  to	
  focus	
  
their	
  expansion	
  efforts.	
  Furthermore,	
  this	
  company	
  
needs	
  an	
  analysis	
  of	
  the	
  educational	
  medical	
  communities	
  
in	
  some	
  major	
  cities,	
  such	
  as	
  LSU	
  and	
  Emory,	
  and	
  the	
  
potential	
  to	
  integrate	
  BDH	
  technology	
  into	
  their	
  systems.	
  
Finally,	
  BDH	
  lacks	
  an	
  understanding	
  of	
  how	
  to	
  allocate	
  
their	
  marketing	
  resources	
  effectively	
  in	
  terms	
  of	
  this	
  
expansion	
  plan.	
  
	
  
 
5	
  
	
  
PROJECT	
  DESCRIPTION	
  
In	
  recognition	
  of	
  BDH’s	
  potential	
  for	
  widespread	
  growth,	
  our	
  project	
  identifies	
  three	
  cities	
  that	
  
will	
  be	
  the	
  most	
  attractive	
  targets	
  for	
  early	
  expansion.	
  In	
  so	
  doing,	
  we	
  have	
  composed	
  a	
  set	
  of	
  
factors	
  which	
  Grey	
  Matter	
  feels	
  will	
  indicate	
  BDH’s	
  success	
  in	
  any	
  given	
  market.	
  With	
  the	
  
timeline	
  of	
  one	
  to	
  one	
  and	
  a	
  half	
  years	
  in	
  mind,	
  this	
  report	
  highlights:	
  
To	
  determine	
  our	
  final	
  three	
  candidates,	
  Grey	
  Matter	
  Consulting	
  examined	
  BDH's	
  preliminary	
  
list	
  of	
  12	
  target	
  cities.	
  We	
  then	
  began	
  brainstorming	
  and	
  researching	
  the	
  EHR	
  marketplace	
  
before	
  creating	
  a	
  decision	
  matrix	
  to	
  narrow	
  the	
  list	
  of	
  twelve	
  potential	
  targets	
  to	
  three.	
  With	
  
these	
  three	
  cities	
  chosen,	
  we	
  gathered	
  additional	
  data	
  and	
  examined	
  each	
  city	
  under	
  more	
  
detailed	
  criteria.	
  In	
  so	
  doing,	
  we	
  have	
  created	
  a	
  list	
  of	
  important	
  factors	
  that	
  Grey	
  Matter	
  
Consulting	
  feels	
  will	
  indicate	
  success	
  in	
  a	
  given	
  region,	
  as	
  well	
  as	
  constructing	
  a	
  model	
  to	
  
provide	
  a	
  clear	
  order	
  of	
  attractiveness	
  among	
  our	
  final	
  three	
  cities.	
  Using	
  this	
  recommendation,	
  
BDH	
  can	
  focus	
  its	
  resources	
  on	
  attractive	
  expansion	
  efforts	
  that	
  will	
  create	
  the	
  seed	
  from	
  which	
  
BDH	
  can	
  grow	
  across	
  the	
  Gulf	
  South	
  region.	
  
	
  
• Three	
  cities	
  most	
  ripe	
  for	
  BDH’s	
  expansion	
  
• Explanation	
  of	
  the	
  attractiveness	
  of	
  each	
  city	
  
• Recommended	
  prioritization	
  for	
  the	
  allocation	
  of	
  company	
  resources
Retrieved	
  From	
  Better	
  Day	
  Health	
  
 
6	
  
	
  
	
  
Additionally,	
  our	
  project	
  encompasses	
  two	
  other	
  facets	
  of	
  BDH’s	
  business.	
  Beyond	
  the	
  three	
  cities	
  we	
  
have	
  analyzed	
  in	
  depth,	
  we	
  also	
  gathered	
  basic	
  information	
  and	
  applied	
  our	
  matrix	
  to	
  the	
  city	
  of	
  Baton	
  
Rouge.	
  BDH	
  is	
  already	
  in	
  talks	
  with	
  LSU	
  Hospitals,	
  and	
  therefore	
  we	
  chose	
  to	
  remove	
  the	
  city	
  from	
  our	
  
suggestions.	
  	
  However,	
  having	
  this	
  information	
  may	
  provide	
  additional	
  confidence	
  for	
  this	
  expansion	
  
into	
  the	
  LSU	
  Hospital	
  system.	
  Finally,	
  we	
  researched	
  similar	
  companies	
  within	
  the	
  targeted	
  region	
  to	
  
provide	
  an	
  estimated	
  budget	
  for	
  BDH’s	
  marketing	
  strategy.	
  Within	
  this	
  estimated	
  budget,	
  we	
  
recommend	
  a	
  certain	
  level	
  of	
  spending	
  to	
  go	
  towards	
  each	
  of	
  the	
  three	
  top	
  cities,	
  in	
  accordance	
  with	
  
market	
  size	
  and	
  attractiveness.	
  Overall,	
  this	
  report	
  contains	
  an	
  analysis	
  of	
  which	
  cities	
  are	
  the	
  best	
  
targets	
  for	
  BDH’s	
  expansion,	
  and	
  a	
  target	
  amount	
  for	
  BDH’s	
  marketing	
  budget	
  in	
  each	
  city.	
  	
  
PROJECT	
  DESCRIPTION	
  CONTINUED…	
  
• Narrow	
  BDH’s	
  preliminary	
  list	
  of	
  12	
  potential	
  
markets	
  down	
  to	
  3	
  candidates	
  for	
  expansion.	
  
• Analyze	
  these	
  3	
  cities	
  and	
  determine	
  the	
  factors	
  
that	
  will	
  indicate	
  BDH’s	
  success	
  in	
  each	
  market.	
  
• Compose	
  a	
  marketing	
  budget	
  for	
  BDH	
  based	
  on	
  
comparable	
  companies	
  in	
  the	
  target	
  region.	
  
• Provide	
  a	
  plan	
  for	
  distribution	
  of	
  marketing	
  budget	
  
based	
  on	
  city	
  attractiveness	
  analyzed	
  previously.	
  
Project	
  Objectives	
  
SWOT	
  Analysis:	
  
In	
  order	
  to	
  analyze	
  BDH’s	
  position	
  in	
  the	
  industry,	
  Grey	
  
Matter	
  conducted	
  a	
  SWOT	
  analysis.	
  One	
  of	
  the	
  company’s	
  
main	
  strengths	
  is	
  its	
  EHR	
  software’s	
  ability	
  to	
  consolidate	
  
all	
  comprehensive	
  patient	
  records	
  to	
  reduce	
  costs	
  and	
  
wasted	
  time.	
  On	
  the	
  other	
  hand,	
  one	
  of	
  BDH’s	
  main	
  
weaknesses	
  lies	
  in	
  the	
  fact	
  that	
  healthcare	
  professionals	
  
must	
  be	
  trained	
  to	
  properly	
  operate	
  the	
  software	
  and,	
  as	
  
a	
  result,	
  these	
  people	
  might	
  be	
  hesitant	
  to	
  adopt	
  a	
  new	
  
routine.	
  There	
  are	
  many	
  opportunities	
  BDH	
  can	
  take	
  
advantage	
  of	
  in	
  the	
  healthcare	
  industry.	
  One	
  of	
  the	
  main	
  
opportunities	
  is	
  the	
  attractiveness	
  of	
  the	
  healthcare	
  
sector,	
  which	
  is	
  projected	
  to	
  grow	
  33.4%	
  by	
  2018.	
  
(Marketline,	
  2014).	
  	
  BDH’s	
  biggest	
  threats	
  are	
  the	
  
regulations	
  it	
  might	
  face	
  in	
  the	
  future.	
  These	
  regulations	
  
include,	
  but	
  are	
  not	
  limited	
  to,	
  privacy,	
  security,	
  and	
  
quality	
  regulations.	
  	
  
SWOT	
  ACRONYM	
  
Strengths	
  
Internal	
  
Weaknesses	
  Internal	
  
Opportunities	
  External	
  
Threats	
  External	
  
 
7	
  
	
  
Retrieved	
  from	
  masonmyers.com	
  
Porter’s	
  Five	
  Forces	
  
Analysis:	
  
A	
  quick	
  analysis	
  of	
  the	
  
industry	
  shows	
  Better	
  Day	
  
Health	
  to	
  have	
  a	
  strong,	
  
but	
  not	
  steadfast,	
  position	
  
in	
  the	
  Electronic	
  Health	
  
Records	
  (EHR)	
  industry.	
  
Buyer	
  power,	
  supplier	
  
power,	
  rivalry	
  among	
  
existing	
  competitors,	
  
threat	
  of	
  new	
  entry,	
  and	
  
threat	
  of	
  substitution	
  are	
  
the	
  elements	
  to	
  examine	
  
in	
  order	
  to	
  determine	
  the	
  
position	
  of	
  BDH	
  in	
  the	
  EHR	
  
industry.	
  
BDH	
  has	
  medium	
  to	
  high	
  buyer	
  power	
  because	
  older	
  EHR	
  systems	
  are	
  becoming	
  outdated	
  
due	
  to	
  new	
  Affordable	
  Care	
  Act	
  mandates	
  and	
  disapproval	
  of	
  other	
  current	
  EHR	
  systems.	
  
The	
  supplier	
  power	
  of	
  BDH	
  is	
  low	
  to	
  medium	
  due	
  to	
  a	
  combination	
  of	
  the	
  contracts	
  BDH	
  
has	
  in	
  place	
  which	
  mitigate	
  their	
  risk	
  as	
  well	
  as	
  the	
  value	
  of	
  their	
  proprietary	
  algorithms	
  
and	
  in-­‐house	
  coding	
  which	
  allows	
  their	
  data	
  system	
  to	
  outperform	
  competitors.	
  	
  
There	
  is	
  a	
  high	
  degree	
  of	
  rivalry	
  among	
  competitors,	
  which	
  stems	
  from	
  constant	
  advances	
  
of	
   technology	
   making	
   staying	
   on	
   top	
   a	
   challenge.	
   The	
   threat	
   of	
   new	
   entry	
   in	
   the	
   EHR	
  
market	
  is	
  medium	
  to	
  high	
  because	
  of	
  the	
  threat	
  of	
  the	
  technology	
  being	
  easily	
  duplicated.	
  
The	
  threat	
  of	
  substitution	
  BDH	
  faces	
  is	
  medium	
  to	
  low	
  as	
  they	
  do	
  not	
  yet	
  have	
  a	
  direct	
  
competitor.	
  Other	
  EHR	
  systems	
  still	
  allow	
  for	
  doctors	
  to	
  manually	
  enter	
  their	
  patient	
  data,	
  
or	
  doctors	
  can	
  contract	
  with	
  a	
  third	
  party	
  to	
  input	
  this	
  data.	
  BDH	
  is	
  the	
  only	
  EHR	
  system	
  
currently	
   on	
   the	
   market	
   that	
   allows	
   doctors’	
   dictation	
   to	
   enter	
   health	
   records	
   into	
   the	
  
system.	
  	
  
Changes	
  in	
  the	
  current	
  EHR	
  mandate	
  could	
  cause	
  an	
  influx	
  in	
  threats	
  of	
  substitution,	
  which	
  
can	
   effect	
   the	
   survival	
   of	
   BDH.	
   The	
   firm,	
   overall,	
   has	
   a	
   wide	
   variety	
   of	
   strengths	
   and	
  
opportunities	
  that	
  can	
  be	
  taken	
  advantage	
  of.	
  Likewise,	
  adequate	
  planning	
  and	
  execution	
  
by	
   BDH	
   can	
   mitigate	
   the	
   forces	
   of	
   the	
   threats	
   of	
   new	
   entrants	
   and	
   rivalry	
   among	
  
competitors,	
  making	
  them	
  a	
  steady	
  contender	
  in	
  the	
  EHR	
  systems	
  market.	
  
 
8	
  
INITIAL	
  MARKETRESEARCH	
  &	
  ANALYSIS	
  
To	
  identify	
  the	
  three	
  target	
  cities	
  from	
  the	
  
original	
  twelve	
  options,	
  we	
  developed	
  weighted	
  
criteria	
  to	
  properly	
  evaluate	
  each	
  city’s	
  
attractiveness	
  for	
  BDH.	
  We	
  did	
  this	
  by	
  
constructing	
  a	
  decision	
  matrix	
  in	
  Microsoft	
  Excel,	
  
inputting	
  the	
  following	
  data	
  and	
  calculating	
  which	
  
three	
  cities	
  best	
  fit	
  BDH’s	
  target	
  market	
  needs.	
  
We	
  distributed	
  the	
  weights	
  as	
  follows:	
  
• University	
  hospitals:	
  30%	
  
• Number	
  of	
  orthopedic	
  clinics:	
  25%	
  
• Number	
  of	
  doctors:	
  20%	
  
• Distance	
  from	
  New	
  Orleans:	
  15%	
  
• Population:	
  10%	
  
INITIAL	
  MARKET	
  ASSESSMENT	
  	
  
Lafayette,	
  LA	
   Alexandria,	
  LA	
   Shreveport,	
  LA	
   Beaumont,	
  TX	
  
Orange,	
  TX	
   Austin,	
  TX	
   Houston,	
  TX	
   Jackson,	
  MS	
  
Biloxi,	
  MS	
   Charlotte,	
  NC	
   Birmingham,	
  LA	
   Atlanta,	
  GA	
  
	
  
Overall,	
  we	
  researched	
  the	
  above	
  data,	
  and	
  decided	
  that	
  Atlanta,	
  Birmingham,	
  and	
  
Houston	
  were	
  the	
  most	
  attractive	
  cities	
  of	
  the	
  twelve	
  options	
  presented	
  by	
  the	
  
client.	
  Better	
  Day	
  Health	
  provided	
  a	
  list	
  of	
  12	
  initial	
  cities	
  which	
  they	
  were	
  
considering	
  for	
  expansion.	
  The	
  cities	
  included	
  in	
  the	
  original	
  12	
  are	
  as	
  follows:	
  	
  
 
9	
  
University	
  hospitals	
  were	
  given	
  the	
  most	
  weight	
  because	
  we	
  feel	
  the	
  client	
  values	
  that	
  the	
  
target	
  market	
  should	
  have	
  at	
  least	
  one	
  university	
  hospital.	
  	
  
University	
  Hospitals	
  
Orthopedic	
  clinics	
  were	
  the	
  second	
  most	
  weighted	
  criteria	
  because	
  BDH	
  has	
  already	
  
experimented	
  with	
  orthopedic	
  clinics,	
  which	
  hopefully	
  will	
  translate	
  to	
  other	
  cities.	
  These	
  
clinics	
  will	
  be	
  a	
  good	
  resource	
  for	
  introducing	
  the	
  software	
  to	
  physicians.	
  Clinics	
  also	
  have	
  
high	
  client	
  traffic	
  on	
  a	
  daily	
  basis.	
  	
  
INITIAL	
  MARKET	
  ASSESSMENT	
  CONTINUED…	
  
Orthopedic	
  Clinics	
  
Doctors	
  are	
  next	
  in	
  rank	
  because	
  they	
  will	
  be	
  the	
  ones	
  implementing	
  the	
  
software	
  in	
  their	
  practices	
  and	
  marketing	
  the	
  software	
  to	
  their	
  vast	
  healthcare	
  
networks.	
  	
  
Doctors	
  
Distance	
  from	
  New	
  Orleans	
  follows	
  because	
  it	
  impacts	
  the	
  attraction	
  of	
  a	
  city;	
  the	
  
client	
  expressed	
  that	
  keeping	
  travel	
  costs	
  low	
  was	
  important.	
  BDH	
  representatives	
  
will	
  have	
  to	
  travel	
  to	
  the	
  target	
  areas	
  to	
  market	
  the	
  product	
  and	
  help	
  physicians,	
  
Distance	
  
Population	
  is	
  the	
  least	
  weighted	
  criterion	
  in	
  the	
  initial	
  market	
  assessment.	
  
Population	
  is	
  indicative	
  of	
  a	
  city’s	
  general	
  market	
  size	
  but	
  also	
  unspecific	
  to	
  the	
  
EHR	
  industry	
  BDH	
  is	
  interested	
  in	
  reaching.
Population	
  
Baton	
  Rouge	
  was	
  considered	
  (making	
  13	
  cities),	
  however,	
  since	
  BDH	
  already	
  is	
  
looking	
  into	
  operations	
  in	
  the	
  Baton	
  Rouge	
  area,	
  it	
  was	
  excluded	
  from	
  our	
  research	
  
of	
  new	
  market	
  cities	
  available	
  to	
  BDH.	
  We	
  then	
  brainstormed	
  and	
  compiled	
  a	
  list	
  of	
  
criteria	
  to	
  shorten	
  the	
  list	
  of	
  cities	
  from	
  12	
  to	
  three,	
  based	
  on	
  requests	
  from	
  BDH	
  
and	
  what	
  we	
  thought	
  were	
  relevant	
  criteria.	
  After	
  deciding	
  on	
  the	
  five	
  criteria	
  
factors	
  above,	
  we	
  ranked	
  them	
  as	
  previously	
  mentioned	
  and	
  the	
  outcomes	
  from	
  
the	
  decision	
  matrix	
  concluded	
  Atlanta,	
  Houston,	
  and	
  Birmingham	
  are	
  the	
  top	
  three	
  
choices	
  for	
  expansion	
  by	
  BDH.	
  
 
10	
  
	
  
	
  
Initial	
  Market	
  Assessment	
  
Factor	
  
Existence	
  of	
  
University	
  
Hospitals	
  
Number	
  of	
  
Orthopedic	
  
Clinics	
  
Number	
  of	
  
Physicians	
  
Population	
  
Distance	
  from	
  
New	
  Orleans	
  
(miles)	
  
Overall	
  
Ranking	
  
Factor	
  Weight	
  	
   30%	
   25%	
   20%	
   10%	
   15%	
  
City	
   	
  	
   Rank	
   Rank	
   Rank	
  	
   Rank	
   	
  	
  
Baton	
  Rouge	
   1	
   7	
   8	
   5	
   1	
   4	
  
Lafayette	
   2	
   11	
   10	
   11	
   3	
   9	
  
Alexandria	
   2	
   9	
   10	
   9	
   5	
   11	
  
Shreveport	
   1	
   5	
   6	
   7	
   7	
   8	
  
Beaumont/Orange	
   2	
   12	
   12	
   10	
   6	
   11	
  
Austin	
   1	
   4	
   5	
   2	
   11	
   6	
  
Houston	
   1	
   1	
   1	
   1	
   9	
   1	
  
Jackson	
   1	
   8	
   7	
   8	
   4	
   5	
  
Biloxi	
   2	
   10	
   9	
   12	
   2	
   10	
  
Charlotte	
   1	
   5	
   4	
   3	
   12	
   7	
  
Birmingham	
   1	
   3	
   3	
   6	
   8	
   3	
  
Atlanta	
   1	
   2	
   2	
   4	
   10	
   2	
  
INITIAL	
  MARKET	
  ASSESSMENT	
  CONTINUED…	
  
After	
  determining	
  the	
  three	
  most	
  important	
  cities	
  for	
  Better	
  Day	
  Health´s	
  expansion,	
  Grey	
  
Matter	
   Consulting	
   considered	
   it	
   essential	
   to	
   define	
   the	
   order	
   of	
   importance	
   of	
   the	
   final	
  
cities.	
  We	
  designed	
  a	
  decision	
  matrix	
  in	
  order	
  to	
  obtain	
  this	
  information.	
  The	
  decision	
  matrix	
  
presented	
  the	
  following	
  result:	
  	
  
1.	
  Houston	
  	
  	
  2.	
  Atlanta	
  	
  	
  3.	
  Birmingham	
  
FINAL	
  DECISION	
  MATRIX	
  
 
11	
  
FINAL	
  DECISION	
  MATRIX	
  CONTINUED…	
  
The	
  decision	
  matrix	
  compared	
  the	
  three	
  cities	
  on	
  13	
  aspects	
  that	
  are	
  divided	
  in	
  three	
  factors.	
  
Each	
  factor	
  was	
  assigned	
  a	
  certain	
  weight;	
  the	
  factors	
  of	
  each	
  category	
  add	
  up	
  to	
  100%	
  	
  
Population	
  (33.3%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Population	
  0-­‐5	
  (3.33%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Population	
  6-­‐18	
  (3.33%)	
  	
  	
  
Population	
  19-­‐64	
  (6.67%)	
  	
  
Population	
  65+	
  (6.67%)	
  
Median	
  Household	
  Income	
  (20%)	
  
DEMOGRAPHICS100%	
   MARKET100%	
  
Number	
  of	
  Hospitals	
  (16%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Number	
  of	
  University	
  Hospitals	
  
(26.67%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Number	
  of	
  Orthopedic	
  Clinics	
  (24%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Number	
  of	
  Physicians	
  (16.67%)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Total	
  Health	
  Expenditure	
  (16.67%)	
  
COST	
  OF	
  TRAVEL100%	
  
Cost	
  of	
  Travel	
  (Flying)	
  (35%)	
  
Cost	
  of	
  Travel	
  (Driving)	
  (35%)	
  
Cost	
  of	
  Hotel	
  Stay	
  (30%)	
  
	
  
After	
   repeating	
   the	
   same	
   process	
   in	
   each	
   of	
   the	
   13	
   aspects,	
   we	
   obtained	
   a	
   score	
  
(based	
  on	
  the	
  rank)	
  for	
  each	
  city	
  in	
  each	
  factor.	
  The	
  dimensions	
  were	
  each	
  awarded	
  a	
  
percentage	
  weight,	
  with	
  the	
  best	
  city	
  in	
  each	
  category	
  receiving	
  100%,	
  second	
  place	
  
receiving	
  75%	
  of	
  possible	
  points,	
  and	
  third	
  receiving	
  50%.	
  Finally,	
  in	
  order	
  to	
  determine	
  
the	
  total	
  score	
  of	
  each	
  city	
  we	
  multiplied	
  each	
  score	
  by	
  each	
  factor	
  and	
  added	
  them.	
  
Then	
  we	
  ranked	
  the	
  cities	
  depending	
  on	
  their	
  score.	
  It	
  is	
  important	
  to	
  note	
  that	
  the	
  
highest	
  score	
  possible	
  is	
  100.	
  	
  
From	
  this	
  information,	
  the	
  group	
  determined	
  in	
  which	
  order	
  BDH	
  should	
  
focus	
  their	
  time	
  and	
  marketing	
  research.	
  	
  
Factor Houston Birmingham Atlanta
Demographics 10.00 5.88 12.63
Market 75.00 37.38 50.25
Cost of Travel 5.88 5.75 3.38
Total 90.88 49.00 66.25
	
  
 
12	
  
	
  
	
  
RATIONALE	
  BEHIND	
  STRATEGY	
  
Each	
   item	
   in	
   our	
   decision	
   matrix	
   was	
   chosen	
   because	
   we	
  
felt	
   it	
   would	
   affect	
   the	
   overall	
   attractiveness	
   of	
   a	
   city	
   to	
  
Better	
  Day	
  Health.	
  Explained	
  here	
  is	
  our	
  rationale	
  for	
  each	
  
category	
  we	
  evaluated:	
  	
  
The	
  number	
  of	
  orthopedic	
  clinics	
  is	
  a	
  key	
  feature	
  of	
  attractiveness	
  in	
  a	
  city	
  because	
  of	
  the	
  numerous	
  
leads	
  those	
  clinics	
  provide	
  for	
  Better	
  Day	
  Health	
  to	
  explore.	
  	
  One	
  of	
  BDH’s	
  main	
  investors	
  runs	
  an	
  
orthopedic	
  clinic	
  in	
  Lake	
  Charles,	
  and	
  BDH	
  has	
  already	
  begun	
  their	
  pilot	
  program	
  in	
  the	
  center.	
  	
  The	
  
experience	
  with	
  orthopedics	
  will	
  be	
  invaluable	
  to	
  the	
  company	
  moving	
  forward	
  and	
  therefore	
  Grey	
  
Matter	
  Consulting	
  felt	
  that	
  this	
  element	
  was	
  a	
  crucial	
  indicator	
  of	
  potential	
  success	
  for	
  BDH.	
  
Orthopedic	
  Clinics	
  
Beyond	
  the	
  number	
  of	
  clinics,	
  Grey	
  Matter	
  Consulting	
  has	
  examined	
  the	
  demographic	
  data	
  of	
  each	
  
city’s	
  population.	
  	
  As	
  a	
  healthcare	
  product,	
  BDH	
  will	
  benefit	
  from	
  an	
  aging	
  population,	
  as	
  it	
  will	
  lead	
  
to	
  increases	
  in	
  a	
  city’s	
  healthcare	
  expenditure	
  in	
  the	
  future.	
  	
  According	
  to	
  an	
  article	
  from	
  the	
  US	
  
National	
  Library	
  of	
  Medicine	
  and	
  National	
  Institutes	
  of	
  Health,	
  the	
  aging	
  population,	
  specifically	
  
those	
  65+,	
  require	
  a	
  higher	
  portion	
  of	
  work	
  within	
  the	
  orthopedic	
  specialty	
  and	
  therefor	
  an	
  aged	
  
population	
  will	
  be	
  indicative	
  of	
  demand	
  for	
  BDH’s	
  product.	
  	
  	
  
Population	
  
Although	
  Better	
  Day	
  Health	
  is	
  a	
  derivative	
  product,	
  which	
  consumers	
  themselves	
  will	
  not	
  purchase,	
  
the	
  wealth	
  of	
  the	
  population	
  is	
  highly	
  indicative	
  of	
  the	
  quality	
  and	
  quantity	
  of	
  healthcare	
  services	
  
located	
  in	
  the	
  region.	
  People	
  that	
  are	
  insured	
  can	
  afford	
  healthcare,	
  regular	
  doctor	
  visits,	
  and	
  as	
  a	
  
result	
  are	
  good	
  candidates	
  for	
  BDH’s	
  services.	
  The	
  higher	
  the	
  healthcare	
  expenditure	
  in	
  a	
  city,	
  the	
  
more	
  potential	
  BDH	
  has	
  to	
  successfully	
  enter	
  a	
  new	
  market.	
  Although	
  EHR	
  will	
  only	
  receive	
  a	
  small	
  
portion	
  of	
  the	
  total	
  healthcare	
  expenditure	
  in	
  each	
  given	
  marketplace,	
  the	
  larger	
  the	
  overall	
  
expenditure	
  in	
  a	
  city,	
  the	
  more	
  attractive	
  and	
  valuable	
  the	
  market’s	
  potential	
  becomes.	
  
FINAL	
  DECISION	
  MATRIX	
  CONTINUED…	
  
Health	
  Care	
  Expenditure	
  	
  
 
13	
  
	
  
RATIONALE	
  BEHIND	
  STRATEGY	
  CONTINUED…	
  
Hospitals,	
  in	
  general,	
  act	
  as	
  a	
  strong	
  resource	
  for	
  BDH,	
  because	
  they	
  allow	
  the	
  company	
  to	
  reach	
  a	
  
large	
  number	
  of	
  physicians	
  with	
  whom	
  they	
  can	
  build	
  lasting	
  and	
  positive	
  relationships.	
  Therefore,	
  
the	
  more	
  hospitals	
  within	
  a	
  given	
  city,	
  the	
  better	
  chance	
  BDH	
  has	
  to	
  enter	
  into	
  the	
  one	
  of	
  these	
  
healthcare	
  institutions	
  and	
  gain	
  a	
  valuable	
  client.	
  Beyond	
  this,	
  the	
  presence	
  of	
  a	
  medical	
  school	
  
within	
  a	
  target	
  city	
  represents	
  an	
  amazing	
  opportunity	
  for	
  Better	
  Day	
  Health.	
  With	
  the	
  proposed	
  
integration	
  into	
  LSU	
  Health,	
   the	
   company	
  is	
  on	
  track	
   to	
  establish	
  itself	
  as	
   a	
  niche	
  player	
  in	
  the	
  
medical	
  school	
  community.	
  	
  	
  In	
  Grey	
  Matter	
  Consulting’s	
  opinion,	
  this	
  represents	
  the	
  most	
  viable	
  
strategy	
  for	
  BDH’s	
  success,	
  as	
  the	
  high	
  graduation	
  rates	
  from	
  these	
  hospitals	
  will	
  provide	
  Better	
  
Day	
  Health	
  with	
  hundreds	
  of	
  physicians	
  trained	
  to	
  work	
  with	
  BDH	
  software,	
  who	
  can	
  then	
  further	
  
spread	
  the	
  technology	
  throughout	
  their	
  career.	
  
Hospitals	
  	
  
In	
   addition	
   to	
   research	
   on	
   the	
   number	
   of	
   hospitals	
   and	
   orthopedic	
   clinics	
   in	
   a	
   given	
   city,	
   Grey	
  
Matter	
  Consulting	
  felt	
  it	
  was	
  prudent	
  to	
  determine	
  the	
  number	
  of	
  orthopedic	
  physicians	
  within	
  
each	
  city.	
  These	
  physicians	
  are	
  the	
  clients	
  BDH	
  is	
  directly	
  targeting	
  with	
  their	
  product,	
  as	
  it	
  will	
  be	
  
the	
  Physicians,	
  not	
  citizens,	
  who	
  will	
  drive	
  the	
  demand	
  for	
  BDH’s	
  system	
  in	
  their	
  practices.	
  	
  Beyond	
  
this,	
  Physicians	
  also	
  represent	
  an	
  invaluable	
  marketing	
  tool	
  for	
  BDH.	
  	
  These	
  users	
  will	
  create	
  an	
  
organic	
   word	
   of	
   mouth	
   campaign,	
   in	
   which	
   they	
   will	
   refer	
   and	
   promote	
   BDH’s	
   services	
   to	
  
colleagues	
  in	
  the	
  healthcare	
  industry.	
  Therefore,	
  building	
  lasting	
  relationships	
  with	
  a	
  large	
  number	
  
of	
  orthopedic	
  physicians	
  is	
  critical	
  to	
  the	
  long-­‐term	
  success	
  of	
  BDH	
  in	
  any	
  city	
  that	
  it	
  chooses	
  to	
  
expand	
  its	
  services.	
  
Physicians	
  	
  
As	
  a	
  startup	
  with	
  limited	
  resources,	
  BDH	
  must	
  be	
  conscientious	
  of	
  the	
  money	
  it	
  spends	
  towards	
  
client	
  acquisition	
  and	
  marketing.	
  	
  Unfortunately,	
  however,	
  the	
  nature	
  of	
  the	
  EHR	
  requires	
  BDH	
  to	
  
build	
  strong	
  relationships	
  with	
  doctors	
  and	
  hospitals	
  in	
  order	
  to	
  market,	
  explain,	
  and	
  implement	
  
BDH’s	
  system.	
  	
  This	
  will	
  lead	
  to	
  numerous	
  trips	
  between	
  BDH	
  and	
  potential	
  clients,	
  therefore	
  low	
  
travel	
  costs	
  are	
  a	
  critical	
  factor	
  in	
  targeting	
  a	
  new	
  market.	
  	
  
Cost	
  of	
  Travel	
  	
  
 
14	
  
RATIONALE	
  BEHIND	
  STRATEGY	
  CONTINUED…	
  
After	
  inputting	
  all	
  of	
  the	
  data	
  into	
  our	
  weighted	
  decision	
  matrix,	
  Houston	
  emerged	
  as	
  the	
  most	
  
attractive	
  city	
  for	
  BDH’s	
  expansion,	
  followed	
  by	
  Atlanta,	
  with	
  Birmingham	
  ranked	
  last.	
  Houston	
  
scored	
  a	
  total	
  of	
  90.88	
  points.	
  Each	
  city	
  received	
  a	
  score	
  that	
  had	
  three	
  components:	
  market,	
  
demographics,	
  and	
  cost	
  of	
  travel.	
  Houston	
  had	
  the	
  highest	
  score	
  in	
  both	
  the	
  market	
  and	
  cost	
  
of	
   travel	
   sections,	
   posting	
   a	
   score	
   of	
   75.00	
   and	
   5.88,	
   respectively.	
   Houston	
   also	
   landed	
   in	
  
second	
   place	
   in	
   demographics	
   with	
   a	
   score	
   of	
   10.00,	
   trailing	
   Atlanta	
   in	
   this	
   category.	
   The	
  
market	
  segment	
  was	
  the	
  most	
  heavily	
  weighted	
  section	
  of	
  the	
  decision	
  matrix;	
  by	
  winning	
  this	
  
segment	
  handily,	
  Houston	
  grabbed	
  the	
  top	
  place	
  of	
  the	
  three	
  target	
  cities.	
  	
  
	
  
Atlanta	
  scored	
  a	
  total	
  of	
  66.25,	
  with	
  a	
  breakdown	
  of	
  12.63,	
  50.25,	
  and	
  3.38	
  in	
  Demographics,	
  
Market,	
  and	
  Cost	
  of	
  Travel,	
  respectively.	
  Birmingham	
  landed	
  in	
  last	
  place,	
  with	
  a	
  total	
  of	
  49.00	
  
points.	
  Birmingham	
  scored	
  37.38	
  in	
  the	
  market	
  category,	
  the	
  lowest	
  score	
  in	
  this	
  segment.	
  The	
  
large	
  separation	
  between	
  Houston	
  and	
  the	
  two	
  cities	
  below	
  it	
  results	
  almost	
  entirely	
  from	
  the	
  
gap	
  in	
  market	
  segment	
  scores.	
  Based	
  on	
  these	
  results,	
  we	
  recommend	
  Houston	
  as	
  the	
  most	
  
attractive	
  city	
  for	
  Better	
  Day	
  Health’s	
  expansion	
  efforts.	
  	
  
FINAL	
  DECISION	
  MATRIX	
  RESULTS	
  
 
15	
  
	
  
HOUSTON	
  	
  
Houston	
  ranked	
  first	
  in	
  our	
  overall	
  decision	
  matrix	
  due	
  to	
  its	
  high	
  population,	
  large	
  number	
  of	
  
hospitals	
  and	
  orthopedic	
  clinics,	
  and	
  high	
  total	
  healthcare	
  expenditure.	
  With	
  so	
  many	
  attractive	
  
attributes,	
  Grey	
  Matter	
  Consulting	
  believes	
  BDH	
  will	
  be	
  able	
  to	
  successfully	
  expand	
  into	
  the	
  Houston	
  
market.	
  
About	
  9%	
  of	
  Houston’s	
  population	
  is	
  over	
  65	
  years	
  old,	
  
which	
  is	
  favorable	
  since	
  orthopedic	
  centers	
  in	
  Houston	
  
probably	
  have	
  a	
  high	
  patient	
  return	
  rate	
  (US	
  Census	
  
Bureau).	
  The	
  older	
  population	
  will	
  frequent	
  Houston’s	
  many	
  
orthopedic	
  clinics	
  more	
  often	
  that	
  the	
  rest	
  of	
  Houston’s	
  
population.	
  	
  
The	
  median	
  household	
  income	
  for	
  Houston	
  comes	
  in	
  at	
  $45,010	
  (US	
  Census	
  Bureau).	
  Although	
  this	
  
number	
  is	
  below	
  the	
  US	
  median	
  household	
  income	
  of	
  $53,657	
  (typical	
  American	
  family	
  earned	
  
$53,657	
  last	
  year),	
  73.94%	
  of	
  residents	
  are	
  insured	
  and	
  can	
  afford	
  healthcare,	
  regular	
  doctor	
  visits,	
  
and	
  as	
  a	
  result	
  are	
  good	
  candidates	
  for	
  BDH’s	
  services	
  (US	
  Census	
  Bureau).	
  With	
  1,550,271	
  people	
  
insured,	
  Houston	
  has	
  four	
  times	
  more	
  people	
  with	
  healthcare	
  coverage	
  than	
  the	
  second	
  leading	
  city,	
  
Atlanta	
  (US	
  Census	
  Bureau).	
  The	
  total	
  healthcare	
  expenditure	
  is	
  $9,184,066,060	
  (State	
  Health	
  Facts),	
  
which	
  is	
  another	
  reason	
  Houston	
  is	
  an	
  attractive	
  market	
  to	
  enter	
  for	
  BDH.	
  Houston’s	
  high	
  healthcare	
  
expenditure	
  and	
  coverage	
  gives	
  BDH	
  a	
  better	
  potential	
  for	
  market	
  entry,	
  since	
  their	
  residents	
  will	
  go	
  
to	
  the	
  doctors	
  more	
  frequently	
  since	
  they	
  are	
  covered.	
  
Demographics	
  
Houston	
  has	
  a	
  total	
  of	
  24	
  hospitals	
  (including	
  three	
  
prominent	
  university	
  hospitals),	
  18	
  more	
  than	
  the	
  second	
  
largest	
  market	
  (Birmingham	
  with	
  6)	
  making	
  this	
  the	
  most	
  
attractive	
  attribute	
  for	
  entering	
  the	
  Houston	
  healthcare	
  
market	
  (Healthgrades).	
  Houston’s	
  large	
  number	
  of	
  
hospitals	
  gives	
  BDH	
  a	
  better	
  opportunity	
  to	
  break	
  into	
  the	
  
market	
  because	
  that	
  increases	
  the	
  number	
  of	
  physicians	
  
they	
  can	
  include	
  in	
  their	
  potential	
  client	
  base.	
  	
  
Market	
  	
  	
  
Houston	
  Matrix	
  Rankings	
  
• University	
  Hospitals	
   1	
  
• Total	
  Hospitals	
   	
   1	
  
• Total	
  Orthopedic	
  Clinic	
   1	
  
• Total	
  Physicians	
   	
   1	
  
• Total	
  Healthcare	
  	
   	
   1	
  
	
  
Total	
  Orthopedic	
  Physicians:	
  
Houston—251	
  	
  
Atlanta—196	
  	
  
Birmingham—156	
  	
  
 
16	
  
HOUSTON	
  CONTINUED…	
  
Market	
  Continued…	
  
Houston	
  has	
  a	
  large	
  number	
  of	
  orthopedic	
  clinics,	
  which	
  is	
  another	
  attractive	
  reason	
  to	
  enter	
  the	
  
Houston	
  healthcare	
  market.	
  BDH	
  currently	
  operates	
  in	
  the	
  orthopedic	
  market	
  in	
  Lake	
  Charles,	
  which	
  
provides	
  credibility	
  when	
  trying	
  to	
  sell	
  to	
  the	
  orthopedic	
  clinics	
  in	
  Houston.	
  Because	
  Houston	
  has	
  72	
  
orthopedic	
  clinics	
  (Healthgrades),	
  BDH	
  has	
  room	
  for	
  growth	
  within	
  Houston.	
  
In	
  addition	
  to	
  the	
  24	
  Houston	
  hospitals,	
  four	
  of	
  which	
  are	
  university	
  hospitals,	
  there	
  are	
  a	
  total	
  
number	
  of	
  251	
  practicing	
  orthopedic	
  physicians	
  (Healthgrades).	
  Houston	
  has	
  the	
  largest	
  number	
  of	
  
orthopedic	
  physicians	
  out	
  of	
  the	
  three	
  target	
  cities.	
  	
  
	
  
Travel	
  
Travel	
  from	
  New	
  Orleans	
  to	
  Houston	
  would	
  not	
  require	
  extensive	
  funds	
  with	
  a	
  six	
  hour	
  
drive	
  time	
  costing	
  $41.23	
  (Fuel	
  Economy),	
  a	
  flying	
  time	
  of	
  one	
  hour	
  costing	
  $109.00,	
  and	
  a	
  
hotel	
  costing	
  approximately	
  $169	
  per	
  night	
  (Trivago).	
  	
  
Conclusion	
  
Houston’s	
  strong	
  data	
  characteristics	
  have	
  confirmed	
  it	
  as	
  the	
  most	
  attractive	
  market	
  for	
  
BDH	
  to	
  enter.	
  BDH	
  has	
  the	
  opportunity	
  to	
  infiltrate	
  Houston’s	
  healthcare	
  market	
  and	
  create	
  
a	
  strong	
  brand	
  presence	
  in	
  the	
  city.	
  
	
  
Retrieved	
  from	
  www.mdanderson.org/	
  
 
17	
  
	
  
FINAL MARKET ASSESMENT
Market
Factors
Factor Weight Atlanta
Internal
%
Overall
%
Rank Score
Demographics 100.00% 15.00% 1 12.63
Population 33.33% 5.00% 2 75
Population 0-5yrs 3.33% 0.50% 3 50
Population 6-18yrs 3.33% 0.50% 4 25
Population 19-64yrs 6.67% 1.00% 1 100
Population 65yrs+ 6.67% 1.00% 3 50
Median Household
Income
20.00% 3.00% 1 100
Insurance Coverage 26.67% 4.00% 1 100
Market 100.00% 75.00% 2 50.25
Number of Hospitals 16.00% 12.00% 4 25
Number of University
Hospitals
26.67% 20.00% 2 75
Number of
Orthopedic Clinics
24.00% 18.00% 2 75
Number of Physicians 16.67% 12.50% 2 75
Total Health
Expenditure
16.67% 12.50% 2 75
Cost of Travel 100.00% 10.00% 4 3.38
Cost of Travel
(Driving)
35.00% 3.50% 4 25
Cost of Travel
(Flying)
35.00% 3.50% 3 50
Cost of Hotel Stay 30.00% 3.00% 4 25
Total 100.00% 100.00% 66.25
Overall Ranking 2
ATLANTA	
  
Atlanta	
  ranked	
  second	
  in	
  our	
  overall	
  
decision	
  matrix	
  as	
  it	
  showed	
  strong	
  
results	
  across	
  almost	
  all	
  of	
  our	
  
categories.	
  With	
  a	
  large	
  population,	
  the	
  
Emory	
  University	
  system,	
  and	
  many	
  
additional	
  opportunities	
  for	
  Better	
  Day	
  
Health	
  to	
  expand	
  and	
  grow,	
  Grey	
  Matter	
  
Consulting	
  has	
  pegged	
  Atlanta	
  as	
  the	
  
second	
  most	
  attractive	
  market	
  in	
  the	
  
Gulf	
  South	
  region.	
  Using	
  their	
  
experience	
  gained	
  in	
  New	
  Orleans	
  and	
  
Baton	
  Rouge,	
  as	
  well	
  as	
  our	
  data	
  for	
  our	
  
top	
  recommended	
  city,	
  Houston,	
  we	
  
believe	
  Better	
  Day	
  Health	
  can	
  establish	
  
itself	
  as	
  a	
  strong	
  niche	
  player	
  in	
  the	
  
Atlanta	
  Health	
  Care	
  marketplace.	
  
	
  
Demographics	
  
In	
   our	
   analysis	
   of	
   the	
   Atlanta	
   marketplace,	
   Grey	
   Matter	
   Consulting	
   has	
   honed	
   in	
   on	
   several	
   key	
  
statistics,	
  discovered	
  through	
  an	
  analysis	
  of	
  the	
  latest	
  US	
  Census	
  data	
  from	
  2014,	
  which	
  define	
  the	
  
size	
  and	
   attractiveness	
  of	
  the	
   city.	
  For	
   starters,	
   Atlanta	
   proper	
   hosts	
   an	
   estimated	
  population	
   of	
  
420,256	
  people	
  (US	
  Census	
  Bureau).	
  This	
  places	
  Atlanta	
  in	
  second	
  on	
  our	
  population	
  ranking	
  and	
  
provides	
  a	
  large	
  pool	
  of	
  potential	
  clients	
  for	
  Better	
  Day	
  Health.	
  Analyzing	
  this	
  factor	
  even	
  further,	
  
we	
  found	
  that	
  the	
  age	
  breakdown	
  of	
  Atlanta	
  matches	
  the	
  general	
  trends	
  across	
  the	
  US.	
  Next,	
  Grey	
  
Matter	
  Consulting	
  found	
  that	
  Atlanta	
  hosts	
  the	
  greatest	
  average	
  income	
  of	
  our	
  target	
  cities.	
  With	
  
Better	
  Day	
  Health	
  representing	
  a	
  top	
  tier	
  product	
  in	
  the	
  EHR	
  marketplace,	
  it	
  will	
  find	
  a	
  large	
  market	
  
with	
  the	
  affluent	
  population	
  of	
  the	
  Atlanta	
  region.	
  Lastly,	
  Grey	
  Matter	
  Consulting	
  has	
  tracked	
  the	
  
healthcare	
  coverage	
  of	
  Atlanta’s	
  population.	
  With	
  the	
  advent	
  of	
  the	
  Affordable	
  Care	
  Act	
  and	
  the	
  
EHR	
  mandates	
  it	
  contains,	
  insurance	
  coverage	
  is	
  on	
  the	
  rise	
  across	
  America.	
  Fortunately,	
  however,	
  
Atlanta	
   is	
   ahead	
   of	
   the	
   curve	
   on	
   insurance	
   coverage	
   and	
   ranks	
   second	
   in	
   its	
   percentage	
   of	
  
population	
  with	
  health	
  insurance.	
  This	
  will	
  provide	
  the	
  Atlanta	
  marketplace	
  with	
  increased	
  funding	
  
as	
  well	
  as	
  increasing	
  the	
  number	
  of	
  individuals	
  with	
  access	
  to	
  healthcare.	
  
	
  
 
18	
  
	
  
Market Factors Factor Weight Atlanta
Internal % Overall % Rank Score
Demographics 100.00% 15.00% 1 12.63
Population 33.33% 5.00% 2 75
Population 0-5yrs 3.33% 0.50% 3 50
Population 6-18yrs 3.33% 0.50% 4 25
Population 19-64yrs 6.67% 1.00% 1 100
Population 65yrs+ 6.67% 1.00% 3 50
Median Household Income 20.00% 3.00% 1 100
Insurance Coverage 26.67% 4.00% 1 100
ATLANTA	
  CONTINUED…	
  
In	
  any	
  marketplace	
  analysis,	
  one	
  must	
  
go	
  beyond	
  demographic	
  trends	
  and	
  
explore	
  those	
  key	
  features	
  that	
  help	
  to	
  
guarantee	
  a	
  company’s	
  successful	
  
expansion.	
  For	
  Better	
  Day	
  Health,	
  Grey	
  
Matter	
  Consulting	
  discerned	
  five	
  
features	
  that	
  help	
  to	
  define	
  the	
  size	
  and	
  
attractiveness	
  of	
  Atlanta’s	
  healthcare	
  
marketplace.	
  These	
  include:	
  
• 5	
  top	
  tier	
  hospitals	
  (Healthgrades)	
  
• 2	
  medical	
  schools	
  with	
  high	
  graduation	
  rates	
  (Emory	
  University	
  and	
  Morehouse	
  College)	
  
• 62	
  Orthopedic	
  clinics	
  (Healthgrades)	
  
• 196	
  Orthopedic	
  physicians	
  (Healthgrades)	
  
• About	
  $2	
  billion	
  spent	
  towards	
  health	
  care	
  expenditure	
  (State	
  Health	
  Facts)	
  
Market	
  
	
  
Assuming	
  BDH	
  representatives	
  will	
  be	
  traveling	
  from	
  New	
  Orleans,	
  Grey	
  Matter	
  Consulting	
  
has	
  determined	
  that	
  Atlanta	
  will	
  likely	
  be	
  the	
  most	
  expensive	
  to	
  visit	
  and	
  network	
  with	
  clients.	
  
With	
  the	
  farthest	
  distance	
  of	
  our	
  top	
  cities	
  from	
  New	
  Orleans,	
  the	
  cost	
  of	
  travel	
  for	
  Atlanta	
  is	
  
as	
  follows:	
  
• By	
  plane:	
  $128	
  (Trivago)	
  
• By	
  car:	
  $57.50	
  (Fuel	
  Economy)	
  
• Hotel:	
  $200	
  per	
  night	
  (Trivago)	
  
Regardless	
  of	
  expense,	
  Grey	
  Matter	
  Consulting	
  finds	
  
Atlanta	
  to	
  be	
  a	
  highly	
  attractive	
  market,	
  which	
  makes	
  
the	
  cost	
  of	
  doing	
  business	
  there	
  worthwhile.	
  	
  
	
  
 
19	
  
ATLANTA	
  CONTINUED…	
  
Overall,	
  Atlanta	
  is	
  an	
  attractive	
  city	
  
for	
  BDH	
  to	
  expand	
  into	
  because	
  it	
  
holds	
  the	
  second	
  largest	
  population	
  
and	
  the	
  highest	
  average	
  income.	
  
Additionally,	
  Atlanta	
  has	
  the	
  second	
  
highest	
  percent	
  of	
  population	
  with	
  
health	
  insurance,	
  adding	
  to	
  the	
  
city’s	
  attraction.	
  In	
  terms	
  of	
  the	
  
market,	
  Atlanta	
  represents	
  a	
  large	
  
market	
  and	
  an	
  opportunity	
  to	
  grow	
  
and	
  create	
  relationships	
  with	
  
various	
  hospitals	
  and	
  doctors.	
  
Finally,	
  Atlanta	
  is	
  the	
  most	
  
expensive	
  city	
  to	
  visit	
  since	
  it	
  is	
  the	
  
farthest	
  distance	
  from	
  New	
  
Orleans.	
  Nevertheless,	
  Grey	
  Matter	
  
Consulting	
  considers	
  Atlanta	
  an	
  
attractive	
  market	
  because	
  of	
  the	
  
many	
  positive	
  expansion	
  
opportunities	
  it	
  has	
  to	
  offer	
  to	
  BDH.	
  
Conclusion	
  
Retrieved	
  from	
  Emory	
  University	
  Hospital	
  	
  
 
20	
  
BIRMINGHAM	
  	
  
Based	
  on	
  the	
  research	
  of	
  Grey	
  Matter	
  Consulting	
  it	
  is	
  easy	
  to	
  say	
  that	
  Birmingham	
  is	
  the	
  
third	
  and	
  least	
  attractive	
  city	
  of	
  those	
  analyzed	
  for	
  Better	
  Day	
  Health’s	
  expansion.	
  
Birmingham	
  consistently	
  scored	
  lower	
  than	
  both	
  Atlanta	
  and	
  Houston	
  in	
  the	
  decision	
  
matrix	
  and	
  proves	
  to	
  be	
  a	
  smaller	
  city	
  with	
  less	
  opportunity	
  of	
  success.	
  Nevertheless,	
  as	
  
explained	
  later	
  in	
  detail,	
  Birmingham	
  has	
  attractive	
  factors	
  that	
  are	
  beneficial	
  if	
  the	
  
company	
  wants	
  to	
  initiate	
  their	
  expansion	
  with	
  a	
  small	
  market.	
  
Birmingham	
  has	
  the	
  lowest	
  population	
  of	
  the	
  top	
  three	
  cities,	
  which	
  are	
  listed	
  below:	
  
Demographics	
  
However,	
  Birmingham's	
  small	
  population	
  is	
  not	
  the	
  most	
  desirable	
  market	
  for	
  Better	
  
Day	
  Health	
  compared	
  to	
  Atlanta	
  and	
  the	
  over	
  two	
  million	
  population	
  of	
  Houston.	
  
Furthermore,	
  the	
  median	
  household	
  income	
  for	
  Birmingham	
  is	
  slightly	
  over	
  $31,000	
  per	
  
year,	
  the	
  lowest	
  of	
  the	
  three	
  cities	
  (US	
  Census	
  Bureau).	
  Nonetheless,	
  82.6%	
  of	
  the	
  total	
  
population	
  has	
  insurance	
  coverage	
  putting	
  Birmingham	
  in	
  first	
  place	
  in	
  this	
  regard,	
  
compared	
  to	
  Houston	
  with	
  73.94%	
  and	
  Atlanta	
  with	
  86.74%	
  of	
  their	
  total	
  populations	
  
(Appendix	
  1)	
  (US	
  Census	
  Bureau).	
  In	
  general,	
  compared	
  to	
  the	
  other	
  two	
  cities	
  in	
  terms	
  
of	
  demographics,	
  the	
  above	
  information	
  could	
  be	
  positive	
  for	
  Better	
  Day	
  Health	
  if	
  it	
  
wants	
  a	
  small	
  market	
  to	
  begin	
  its	
  expansion.	
  
	
  
• Birmingham	
  Population	
  	
  à	
  212,193	
  
• Atlanta	
  Population	
  à	
  	
  420,256	
  
• Houston	
  Population	
  	
  à	
  2,096,661	
  (US	
  Census	
  Bureau)	
  	
  
• Birmingham	
  Population	
  65+	
  	
  à	
  12.4	
  %	
  or	
  26,301	
  individuals	
  
• Atlanta	
  Population	
  65+	
  	
  à	
  10.44%	
  or	
  43,874	
  individuals	
  
• Houston	
  Population	
  65+	
  	
  à	
  9.43%	
  or	
  197,715	
  individuals	
  (US	
  Census	
  Bureau)	
  
Given	
  that	
  Birmingham	
  holds	
  highest	
  percentage	
  of	
  individuals	
  65	
  years	
  and	
  older,	
  its	
  market	
  
gains	
  more	
  of	
  an	
  appeal	
  to	
  Better	
  Day	
  Health	
  than	
  originally	
  thought.	
  
 
21	
  
BIRMINGHAM	
  CONTINUED…	
  
When	
  compared	
  to	
  Atlanta	
  and	
  Houston,	
  Birmingham	
  has	
  the	
  least	
  number	
  of	
  orthopedic	
  
clinics	
  and	
  number	
  of	
  physicians.	
  Birmingham	
  does,	
  however,	
  have	
  one	
  more	
  hospital	
  than	
  
Atlanta	
  and	
  also	
  has	
  a	
  university	
  hospital,	
  University	
  of	
  Alabama	
  Birmingham	
  Medicine.	
  
Birmingham	
  has	
  the	
  smallest	
  population	
  out	
  of	
  the	
  top	
  three	
  cities	
  chosen.	
  Per	
  capita,	
  
Birmingham	
  has	
  the	
  highest	
  healthcare	
  expenditure	
  but	
  still	
  has	
  the	
  lowest	
  total	
  healthcare	
  
expenditure	
  when	
  compared	
  to	
  Atlanta	
  and	
  Houston.	
  In	
  conclusion,	
  when	
  taking	
  this	
  
information	
  into	
  account,	
  Better	
  Day	
  Health	
  may	
  consider	
  Birmingham	
  as	
  a	
  smaller	
  test	
  
market	
  in	
  order	
  to	
  further	
  grow	
  its	
  brand,	
  but	
  not	
  one	
  where	
  it	
  can	
  capitalize	
  and	
  rapidly	
  grow	
  
its	
  customer	
  base	
  compared	
  to	
  what	
  Atlanta	
  and	
  Houston	
  offer.	
  
Travel	
  
The	
  cost	
  to	
  travel	
  to	
  Birmingham	
  from	
  New	
  Orleans	
  is	
  roughly	
  $40.20	
  in	
  a	
  car,	
  which	
  is	
  the	
  
cheapest	
  driving	
  cost	
  of	
  the	
  three	
  cities	
  (Fuel	
  Economy).	
  
	
  
Birmingham	
  also	
  has	
  the	
  cheapest	
  hotel	
  rates	
  which	
  makes	
  spending	
  the	
  night	
  more	
  
desirable	
  after	
  a	
  drive	
  over.	
  The	
  only	
  downfall	
  to	
  traveling	
  to	
  Birmingham	
  is	
  if	
  choosing	
  to	
  
fly,	
  Better	
  Day	
  Health	
  will	
  incur	
  the	
  highest	
  air	
  travel	
  rates	
  out	
  of	
  all	
  of	
  the	
  top	
  three	
  cities.	
  In	
  
terms	
  of	
  traveling	
  distance,	
  lodging,	
  and	
  cost	
  of	
  driving,	
  Birmingham	
  is	
  the	
  most	
  desirable	
  
market	
  for	
  Better	
  Day	
  Health,	
  in	
  comparison	
  with	
  Houston	
  and	
  Atlanta.	
  
	
  
CITY	
  	
  
HOUSTON	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
BIRMINGHAM	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
ATLANTA	
  
COST	
  OF	
  TRAVEL	
  (Driving)	
  	
  	
  
$41.23	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
$40.20	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
$57.50	
  
Market	
  	
  
 
22	
  
BIRMINGHAM	
  CONTINUED…	
  
In	
  general,	
  Birmingham	
  is	
  
an	
  attractive	
  city	
  for	
  Better	
  
Day	
  Health	
  if	
  they	
  want	
  a	
  
small	
  market	
  to	
  begin	
  
expanding	
  to.	
  In	
  terms	
  of	
  
demographics,	
  Birmingham	
  
is	
  the	
  city	
  with	
  the	
  smallest	
  
population.	
  But,	
  as	
  
mentioned	
  before,	
  the	
  percentage	
  of	
  the	
  population	
  19	
  years	
  or	
  older	
  and	
  the	
  percentage	
  of	
  
the	
  population	
  with	
  insurance	
  coverage	
  are	
  both	
  positive	
  aspects	
  for	
  the	
  company.	
  Finally,	
  in	
  
terms	
  of	
  distance	
  and	
  cost	
  of	
  travel	
  from	
  New	
  Orleans,	
  Birmingham	
  is	
  attractive	
  because	
  it	
  is	
  
the	
  cheapest	
  city	
  to	
  travel	
  to.	
  Nevertheless,	
  among	
  the	
  top	
  three	
  cities	
  it	
  is	
  the	
  least	
  
attractive	
  primarily	
  due	
  to	
  the	
  fact	
  that	
  it	
  is	
  a	
  small	
  city	
  compared	
  to	
  Houston	
  and	
  Atlanta.	
  
The	
  population	
  is	
  the	
  smallest	
  one	
  and	
  therefore	
  the	
  number	
  of	
  people	
  19	
  years	
  or	
  older,	
  the	
  
number	
  of	
  orthopedic	
  clinics,	
  and	
  the	
  number	
  of	
  physicians	
  are	
  all	
  smaller	
  than	
  the	
  other	
  
cities.	
  
	
  
Conclusion	
  
Retrieved	
  from	
  	
  UAB	
  Hospital	
  	
  
 
23	
  
BATON	
  ROUGE	
  	
  
Demographics	
  
Baton	
  Rouge	
  hosts	
  a	
  large	
  population	
  that	
  is	
  well	
  distributed	
  amongst	
  demographic	
  
age	
  groups.	
  Beyond	
  this	
  fact,	
  the	
  city	
  can	
  claim	
  the	
  highest	
  per	
  capita	
  healthcare	
  
expenditure	
  amongst	
  our	
  final	
  candidates.	
  These	
  facts	
  indicate	
  a	
  robust	
  and	
  
growing	
  healthcare	
  market,	
  upon	
  which	
  BDH	
  should	
  seek	
  to	
  capitalize	
  in	
  the	
  
coming	
  months.	
  
Market	
  
Next,	
  we	
  turn	
  towards	
  Baton	
  Rouge’s	
  healthcare	
  market	
  and	
  the	
  opportunities	
  it	
  
represents	
  for	
  BDH.	
  With	
  six	
  hospitals	
  and	
  the	
  region’s	
  largest	
  collegiate	
  healthcare	
  
system,	
  the	
  city	
  makes	
  up	
  for	
  its	
  shortcomings	
  in	
  the	
  orthopedic	
  clinic/physician	
  
category	
  (which	
  rank	
  fourth	
  amongst	
  our	
  final	
  candidates)	
  (Healthgrades).	
  Furthering	
  
BDH’s	
  potential	
  for	
  growth,	
  the	
  integration	
  with	
  LSU	
  healthcare	
  represents	
  an	
  
opportunity	
  that	
  Grey	
  Matter	
  believes	
  will	
  solidify	
  BDH’s	
  position	
  in	
  the	
  EHR	
  
marketplace.	
  	
  	
  
Though	
  not	
  included	
  in	
  our	
  recommended	
  final	
  cities,	
  Baton	
  Rouge	
  was	
  a	
  necessary	
  
location	
  to	
  analyze	
  for	
  BDH’s	
  expansion.	
  BDH	
  has	
  already	
  begun	
  to	
  expand	
  into	
  the	
  
region	
  by	
  forming	
  a	
  tentative	
  agreement	
  for	
  integration	
  with	
  LSU	
  health	
  systems.	
  As	
  
such,	
  Grey	
  Matter	
  wanted	
  to	
  confirm	
  the	
  efficacy	
  of	
  this	
  strategy,	
  as	
  well	
  as	
  
demonstrate	
  that	
  our	
  matrix	
  correctly	
  predicts	
  attractive	
  markets	
  for	
  BDH.	
  When	
  
analyzed	
  against	
  the	
  other	
  cities	
  in	
  our	
  final	
  matrix,	
  Baton	
  Rouge	
  would	
  occupy	
  the	
  
third	
  position	
  in	
  our	
  recommendation	
  list,	
  due	
  to	
  strong	
  showings	
  in	
  demographic	
  
distribution	
  and	
  healthcare	
  expenditures	
  by	
  the	
  city.	
  	
  When	
  further	
  compounded	
  by	
  
the	
  low	
  costs	
  of	
  travel	
  and	
  proximity	
  to	
  their	
  base	
  of	
  operations,	
  our	
  matrix	
  indicates	
  
that	
  Baton	
  Rouge	
  is	
  indeed	
  a	
  viable	
  candidate	
  for	
  BDH’s	
  early	
  expansion	
  goals.	
  	
  
 
24	
  
BATON	
  ROUGE	
  CONTINUED…	
  
With	
  close	
  proximity	
  to	
  BDH’s	
  home	
  office	
  as	
  well	
  as	
  their	
  Lake	
  Charles	
  clinics,	
  Baton	
  Rouge	
  
would	
  require	
  the	
  least	
  amount	
  of	
  resources	
  to	
  visit	
  and	
  follow-­‐up	
  with	
  potential	
  clients,	
  
costing	
  about	
  $10.66	
  to	
  drive	
  there,	
  and	
  only	
  $90	
  for	
  a	
  hotel	
  stay.	
  As	
  a	
  budding	
  startup,	
  this	
  
reduced	
  cost	
  per	
  client	
  acquisition	
  is	
  more	
  important	
  now	
  than	
  it	
  will	
  be	
  in	
  the	
  coming	
  
months.	
  As	
  such,	
  this	
  city	
  is	
  an	
  excellent	
  location	
  for	
  BDH’s	
  initial	
  expansion	
  and	
  Grey	
  Matter	
  
wholeheartedly	
  supports	
  this	
  strategic	
  initiative.	
  	
  
MARKETING	
  BUDGET	
  	
  	
  
Grey	
  Matter	
  Consulting	
  analyzed	
  the	
  advertising	
  and	
  marketing	
  budgets	
  of	
  three	
  of	
  Better	
  
Day	
  Health’s	
  competitors:	
  Greenway	
  Medical	
  Technologies	
  Inc.,	
  Athena	
  Health,	
  and	
  Henry	
  
Schein	
  Inc.	
  These	
  three	
  companies	
  were	
  the	
  only	
  organizations	
  in	
  the	
  industry	
  to	
  publish	
  
their	
  marketing	
  budgets	
  as	
  anything	
  other	
  than	
  general	
  expenses.	
  Grey	
  Matter	
  realizes	
  that	
  
these	
  companies	
  are	
  much	
  larger	
  than	
  BDH,	
  however	
  these	
  companies	
  are	
  similar	
  enough	
  to	
  
warrant	
  comparison.	
  	
  
Greenway	
  Medical,	
  Athena,	
  and	
  Henry	
  Schein	
  spend,	
  on	
  average,	
  1.5%	
  of	
  revenues	
  on	
  
marketing.	
  (Athena,	
  2014)	
  (Greenway,	
  2013)	
  (Henry	
  Schein,	
  2014)	
  We	
  feel	
  this	
  is	
  an	
  
appropriate	
  level	
  of	
  spending	
  for	
  BDH	
  as	
  well.	
  Taking	
  into	
  account	
  that	
  BDH	
  is	
  a	
  startup	
  with	
  
limited	
  cash	
  flows,	
  we	
  believe	
  1.5%	
  is	
  a	
  reachable	
  and	
  appropriate	
  level	
  of	
  marketing	
  
spending.	
  We	
  arrived	
  at	
  this	
  number	
  by	
  averaging	
  the	
  three	
  above	
  companies’	
  percentage	
  of	
  
revenues	
  spent	
  on	
  marketing	
  from	
  2012	
  to	
  2014.	
  The	
  previously	
  mentioned	
  companies	
  
spend	
  roughly	
  between	
  0.12%	
  and	
  3%	
  of	
  revenues	
  on	
  marketing,	
  so	
  in	
  the	
  long	
  term,	
  BDH	
  
can	
  adjust	
  its	
  spending	
  depending	
  on	
  their	
  performance.	
  Below	
  is	
  a	
  table	
  presenting	
  our	
  
suggestion	
  based	
  upon	
  BDH’s	
  projected	
  revenues.	
  	
  
 
25	
  
MARKETING	
  BUDGET	
  CONTINUED…	
  
	
   Better	
  Day	
  Health,	
  Inc.	
  
	
   2017	
   2016	
   2015	
  
Revenue	
   $37,637,875.00	
   $11,553,508.00	
   $1,553,508.00	
  
Adv.	
  Expense	
   $564,568.13	
   $173,302.62	
   $23,302.62	
  
Ad	
  expense	
  as	
  a	
  %	
  of	
  rev.	
   1.50%	
   1.50%	
   1.50%	
  
	
  
The	
  most	
  attractive	
  market	
  for	
  expansion	
  is	
  Houston,	
  TX.	
  Houston	
  ranked	
  highest	
  in	
  our	
  
decision	
  matrix	
  followed	
  by	
  Atlanta,	
  GA	
  and	
  Birmingham,	
  AL.	
  Houston	
  showed	
  the	
  highest	
  
potential	
  in	
  areas	
  including	
  number	
  of	
  orthopedic	
  physicians	
  and	
  number	
  of	
  university	
  
hospitals.	
  Houston	
  ranked	
  first	
  over	
  all	
  in	
  our	
  decision	
  matrix	
  and	
  carried	
  an	
  overall	
  score	
  
of	
  90.88%	
  out	
  of	
  100%.	
  The	
  second	
  closest	
  city	
  was	
  Atlanta.	
  However,	
  the	
  decision	
  matrix	
  
clearly	
  shows	
  that	
  Atlanta	
  consistently	
  scored	
  lower	
  than	
  Houston	
  overall.	
  	
  
	
  
MARKETING	
  BUDGET	
  RECOMMENDATIONS	
  
Grey	
  Matter	
  recommends	
  that	
  BDH	
  expand	
  to	
  Houston,	
  TX.	
  Houston	
  shows	
  the	
  most	
  
potential	
  as	
  an	
  expansion	
  location	
  because	
  it	
  has	
  positive	
  synergy	
  with	
  BDH’s	
  current	
  
resources	
  and	
  has	
  the	
  potential	
  for	
  continual	
  growth.	
  To	
  successfully	
  penetrate	
  the	
  
Houston	
  market,	
  we	
  recommend	
  that	
  BDH	
  employ	
  a	
  marketing	
  plan	
  to	
  increase	
  brand	
  
awareness.	
  To	
  support	
  this	
  marketing	
  plan	
  BDH	
  should	
  delegate	
  a	
  healthy	
  budget	
  towards	
  
marketing.	
  Based	
  on	
  industry	
  norms	
  as	
  well	
  as	
  data	
  from	
  similar	
  companies,	
  Grey	
  Matter	
  
suggests	
  allocating	
  a	
  marketing	
  budget	
  of	
  roughly	
  $23,000	
  in	
  2015,	
  which	
  is	
  1.5%	
  of	
  
revenues	
  projected	
  as	
  shown	
  above,	
  across	
  the	
  three	
  most	
  attractive	
  cities,	
  allocated	
  as	
  
follows:	
  	
  
•	
  Houston	
  (45%	
  of	
  budget):	
  $10,500	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
•	
  Atlanta	
  (30%	
  of	
  budget):	
  $7,000	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
•	
  Birmingham	
  (25%	
  of	
  budget):	
  $6,000	
  
CONCLUSIONS	
  AND	
  FINAL	
  RECOMMENDATIONS	
  
 
26	
  
	
  
	
  
	
  
City	
  
Median	
  
Household	
  
Income	
  
Insurance	
  
Coverage	
  
Health	
  Care	
  
Expenditur
e	
  (per	
  
insured	
  
capita)	
  
Total	
  Health	
  
Care	
  
Expenditure	
  
Cost	
  of	
  
Travel	
  
(Driving)	
  
Cost	
  of	
  
Travel	
  
(Flying)	
  
Cost	
  of	
  
Hotel	
  Stay	
  
Number	
  of	
  
University	
  
Hospitals	
  
Houston	
   	
  $45,010	
  	
   73.94%	
   	
  $5,924	
  	
   	
  $9,184,066,060	
  	
   	
  $41.23	
  	
   	
  $109.00	
  	
   	
  $169.00	
  	
   	
  3.00	
  	
  
Birmingham	
   	
  $31,335	
  	
   82.57%	
   	
  $6,272	
  	
   	
  $1,098,885,760	
  	
   	
  $40.20	
  	
   	
  $461.00	
  	
   	
  $120.00	
  	
   	
  1.00	
  	
  
Baton	
  Rouge	
   	
  $38,593	
  	
   82.99%	
   	
  $6,795	
  	
   	
  $1,293,924,285	
  	
   	
  $10.66	
  	
   	
  $-­‐	
  	
  	
  	
   	
  $90.00	
  	
   	
  1.00	
  	
  
Atlanta	
   	
  $46,631	
  	
   86.74%	
   	
  $5,467	
  	
   	
  $1,992,951,114	
  	
   	
  $57.50	
  	
   	
  $128.00	
  	
   	
  $200.00	
  	
   	
  2.00	
  	
  
APPENDIX	
  	
  
APPENDIX	
  1	
  	
  
APPENDIX	
  2	
  
City	
   Total	
  Population	
   %	
  Of	
  Population	
  with	
  Insurance	
  Coverage	
  
Houston	
   2,195,914	
   70.60%	
  
Birmingham	
   212,113	
   82.60%	
  
Atlanta	
   447,841	
   81.40%	
  
	
  
City	
  
Number	
  
of	
  
Hospitals	
  
Number	
  of	
  
Orthopedic	
  
Clinics	
  
	
   Population	
  
Number	
  
of	
  
Physicians	
  
Population	
  	
  	
  	
  	
  
6-­‐18yrs	
  
Population	
  
19-­‐64yrs	
  
Population	
  
65yrs+	
  
Houston	
   	
  24	
  	
   	
  72	
  	
   	
  251	
  	
   2,096,661	
   8.48%	
   27.13%	
   59.70%	
   9.43%	
  
Birmingham	
   	
  6	
  	
   	
  35	
  	
   	
  156	
  	
   212,193	
   6.90%	
   21.49%	
   59.18%	
   12.40%	
  
Baton	
  Rouge	
   	
  6	
  	
   	
  14	
  	
   	
  61	
  	
   229,447	
   6.50%	
   22.40%	
   59.90%	
   11.20%	
  
Atlanta	
   	
  5	
  	
   	
  62	
  	
   	
  196	
  	
   420,256	
   6.82%	
   20.67%	
   68.63%	
   10.44%	
  
	
  
 
27	
  
FINAL MARKET ASSESMENT
Market Factors
Factor Weight Houston Birmingham Baton Rouge Atlanta
Internal
%
Overall
%
Rank Score Rank Score Rank Score Rank Score
Demographics 100.00% 15.00% 2 10.00 4 5.88 3 9.00 1 12.63
Population 33.33% 5.00% 1 100 4 25 3 50 2 75
Population 0-5yrs 3.33% 0.50% 1 100 2 75 4 25 3 50
Population 6-18yrs 3.33% 0.50% 1 100 3 50 2 75 4 25
Population 19-64yrs 6.67% 1.00% 3 50 4 25 2 75 1 100
Population 65yrs+ 6.67% 1.00% 4 25 1 100 2 75 3 50
Median Household Income 20.00% 3.00% 2 75 4 25 3 50 1 100
Insurance Coverage 26.67% 4.00% 4 25 3 50 2 75 1 100
Market 100.00% 75.00% 1 75.00 3 37.38 4 32.88 2 50.25
Number of Hospitals 16.00% 12.00% 1 100 2 75 2 75 4 25
Number of University
Hospitals
26.67% 20.00% 1 100 3 50 3 50 2 75
Number of Orthopedic Clinics 24.00% 18.00% 1 100 3 50 4 25 2 75
Number of Physicians 16.67% 12.50% 1 100 3 50 4 25 2 75
Total Health Expenditure 16.67% 12.50% 1 100 4 25 3 50 2 75
Cost of Travel 100.00% 10.00% 2 5.88 3 5.75 1 10.00 4 3.38
Cost of Travel (Driving) 35.00% 3.50% 3 50 2 75 1 100 4 25
Cost of Travel (Flying) 35.00% 3.50% 2 75 4 25 1 100 3 50
Cost of Hotel Stay 30.00% 3.00% 3 50 2 75 1 100 4 25
Total 100.00% 100.00% 90.88 49.00 51.88 66.25
Overall Ranking 1 4 3 2
Appendix	
  Continued…	
  
Final Score Summary
Factor Houston Birmingham
Baton
Rouge
Atlanta
Demographics 10.00 5.88 9.00 12.63
Market 75.00 37.38 32.88 50.25
Cost of Travel 5.88 5.75 10.00 3.38
 
28	
  
LEGEND
Changeable Input
Changeable Overall Weight
Factors 5.00%
Results*
Main Ranking Point 1
Total Score 100.00
City Score 100
Red Corner - Comment 100
(Hover over cell to read
comment)
*NOTE: Result cells should remain unchanged.
( To view the raw data for each variable, click on
the "Data" tab. For more information about
sources and assumptions, refer to "Sources" tab.)
Point Scale
Place Score
1 100
2 75
3 50
4 25
 
29	
  
PROJECT	
  CHARTER	
  
APPENDIX	
  CONTINUED…	
  
Team Members
Team Member Role(s) Contact Information
1. Nathan Benjamin Project Manager nbenjam@tulane.edu
(703) 855-3941
2. Hailey Breisacher Management and Leadership
Specialist
hbreisac@tulane.edu
(601) 463-2063
3. Emma Christon Branding and Social Media
Specialist
echrist1@tulane.edu
(650) 766-0839
4. Lena Franklin Presentation Design Specialist lfrankl@tulane.edu
(561) 504-4664
5. Samuel Gautreau Team Management and
Marketing Psychology Specialist
samuelgautreau@gmail.com
(956) 434-1501
6. David Kahn Communication Liaison dkahn1@tulane.edu
(407) 970-3486
7. Morgan Lopez Graphic Design Specialist Morgan.Lopez13@ymail.com
(713) 882-5531
8. María Camila Prieto
Nassar
Marketing Specialist MariaCamilaPrietoNassar@gmail.com
(504) 881-5320
9. James Ray Business Modeling and Legal
Specialist
jray2@tulane.edu
(504) 452-9662
10. Maria Camila Rico Financial Analyst mricopri@tulane.edu
(786) 731-5959
11. Carlos F. Salazar Financial Analyst csalaza@tulane.edu
(504) 462-4672
12. Maria Thomas Financial Analyst m.thomas10@unaindes.edu.co
(504) 909-4778
	
  
 
30	
  
PROJECT	
  CHARTER	
  CONTINUED…	
  
APPENDIX	
  CONTINUED…	
  
Client Business Description
Better Day Health is a medical technology company that focuses on the electronic data entry and
transcription of patient health records. The company integrates innovations in the technology and healthcare
industries and brings its products into healthcare facilities and providers around Louisiana, Virginia, and
New York. The company’s goal is to install equipment that saves doctors and healthcare facilities time and
money, as well as improves the quality and efficiency of the doctors’ work. Most importantly, these new
inventions can help to save lives every day. This innovation is accomplished through Better Day Health’s
proprietary application and software. By utilizing the latest radio frequency identification (RFID), speech-to-
text, and medical transcription technologies, the company has created a system that reduces the time doctors
spend entering data. In doing so, the company provides a product that not only improves the doctor-patient
dynamic and quality of care, but also frees up doctors “from being the most expensive data clerks on the
market.”
This company is driving a completed trial version of its technologies through two separate clinics in the
Lake Charles area. The company is projecting widespread adoption in the small clinic market segment due
its ease of use and its ability to seamlessly integrate with existing technologies in hospitals and doctors’
offices.
Client Organization Mission
Better Day Health’s purpose is “to create innovations that drive dramatic improvements in the way medicine
is practiced that lower costs, save lives, extend resources and facilitate closer patient-provider relationships,”
(www.betterdayhealth.com/about-us/). This company aims to improve the doctor-patient care relationship
with efficient, engaging, and cost-saving measures implemented through mobile and web-based innovations
in the healthcare industry.
Client Goal for Project
• The goal of this project will be to create a formula for analyzing and
comparing target cities for Better Day Health’s expansion.
• We will create a diagnostic model through Excel, which will analyze key
features of each city i.e. number of clinics, population, average age, other
demographic factors, etc., to create a short list of three to five markets we find
most attractive.
• Learn about the educational medical communities and the potential to integrate
Better Day Health into these systems (i.e. LSU, Tulane etc.)
• Create a timeline that demonstrates where and when Better Day Health should
leverage its resources across multiple southern cities.
	
  
 
31	
  
Key Stakeholders
Name / Group / Role(s) Primary Concerns
Dr. Keith Desonier, Dr. John Noble, and
doctors in general who offer the patients a
health related service by taking care of them
and ensuring their safety.
Use their time efficiently to provide superior customer
service. Make accurate diagnosis (which will be easier
with EHS since the doctor has access to the complete
clinical history of the patient).
ENT Associates, Center for Orthopedics, and
customers: health care providers.
Maximize the company’s workforce labor time, increase
their doctors’ satisfaction (which will lead to a lower
turnover rate), and reduce costs.
Andre duPlessis, MHA, COO of Presbyterian,
St. Luke's Hospital, and investors: provide
financial support for the development of the
project.
Gain long-term profit from their shares on the project.
Patients Receive satisfactory service, accurate diagnoses and
treatments.
Peter Ragusa, Rand Ragusa, Roman
Khmaladze, Don Lazzari, Jeff Miller, Howard
Luks/ Better Day’s Management
Provide a high quality product to clients, manage the risks
the firm faces, and create strategies to obtain earnings.
Nuance Healthcare, Isabel Healthcare,
Motorola Solutions, Qualcomm Life/ Partners:
strategic allies that help promote products to
enter the market.
Create a quality product that provides return on
investments and awareness for partner products/services.
Nuance, M*Modal, Care Cloud, Practice
Fusion & drchrono.com/ Competitors:
Documentation vendors.
Provide customers with an easy access to information.
Government: ensure the welfare of the
citizens.
Regulate companies’ actions in order to guarantee they
are safe for citizens.
	
  
PROJECT	
  CHARTER	
  CONTINUED…	
  
APPENDIX	
  CONTINUED…	
  
 
32	
  
Project Details
Project Description and Definition:
We will provide Better Day Health with three top cities to target for expansion in the next year and a half. First, we will narrow a
list of 12 potential targets to three using broad criteria such as population, demographic breakdown, and distance from New
Orleans.
With three cities chosen, we will rank these cities by attractiveness to Better Day Health using more criteria. Additionally, we will
analyze similar start-up companies within the target region to provide an estimated budget for Better Day Health’s marketing.
The ultimate goal will be to recommend a certain level of spending for each of the three top cities.
Deliverable Description
In creating this to-market plan for Better Day Health, we plan to deliver:
• A narrowed-down list of the top 12 cities into the three most practical expansion opportunities through analysis of
demographics including age, Healthcare coverage, and other factors.
• Provide a succinct analysis of healthcare providers and demographic trends within the top three cities focusing on
Orthopedic and University Health systems.
• Generate an 18 month marketing budget in line with current financial projections and growth, based on the use of a media
and grassroots marketing campaign.
• Divide budget for top three cities based on recommendations from various models.
Excluded Work
• We will not engage in lead generation or venture capital assistance directly.
• We will not actively solicit advertising agencies for business.
• We will not engage in primary research such as survey administration or polling.
• We will not complete or launch the actual advertising campaign in this project.
Organizational Objectives and Corresponding Project Objectives
Organizational Objectives Corresponding Project Objectives
Highlight Better Day Health’s unique
and valuable services in the modern
day health market.
Research and highlight trends and advances in medical markets,
particularly in areas where Better Day Health will launch within two
years (Tulane/LSU Medical community, Dallas, Baton Rouge, etc).
Better Day Health wants to expand its
reach into new cities
Establish which cities are the most attractive to Better Day Health, and
will be most accepting to their product.
Maximize leads and Better Day Health
clientele while minimizing marketing
costs.
Establish a potential marketing budget given the firm’s current and
projected performance, based on similar firms’ marketing budgets.
PROJECT	
  CHARTER	
  CONTINUED…	
  
APPENDIX	
  CONTINUED…	
  
 
33	
  
Project Requirements
Requirements that our project needs to fulfill:
• Define important criteria for market analysis
• Analyze 12 attractive markets based on defined criteria
• Select three best markets to enter
• Develop a financial analysis and determine an 18 month resource allocation budget
• Allocate 18 month budget between top cities respective to their size
Requirements that the client needs to meet:
• Attend the final in-class presentation
• Provide the group with all the necessary information to develop the project
• Attend all scheduled meetings
• Communicate regularly
Project Constraints and Limitations
Our group is composed of students with limited consulting experience who are looking to appropriate
business knowledge and skills through the development of this project. We consider the three-month time
frame to develop the project as a limitation that may affect the scope of the final project.
The access to relevant and specific industry information may also be a limitation. If we do not have
access to essential information, the development of the project could be affected. Furthermore, Grey
Matter Consulting does not have the capacity to access information that requires capital to acquire.
Key Assumptions and Risks:
Grey Matter Consulting can help Better Day Health expand into new markets, such as Texas.
• New marketing territory can be a risk for Grey Matter Consulting, because we are not familiar
with the area and who the exact target market is.
• It is unknown if there is any competing technology in the Texas market at this time, which would
potentially harm Better Day Health’s launch into the new market.
Grey Matter Consulting may not be able to help Better Day Health to expand its market	
  
APPENDIX	
  CONTINUED…	
  
PROJECT	
  CHARTER	
  CONTINUED…	
  
 
34	
  
Grey Matter Consulting Signatures
	
  
Nathan Benjamin
	
  
	
  	
  	
  	
  	
  	
  	
  	
  David Kahn
	
  	
  	
  	
  
	
  
	
  
James Ray
	
  
	
  
	
  
	
  	
  	
  	
  	
  	
   Lena Franklin
	
  
	
  
	
  
Samuel Gautreau
	
  
	
  
	
  
	
  	
  	
  	
  	
  	
  	
  	
  Hailey Breisacher
	
  
	
  
	
  
Morgan Lopez
	
  
	
  
	
  
	
  	
  	
  	
  	
  	
  	
  Emma Christon
	
  
	
  
	
  
Carlos F. Salazar
	
  
	
  
	
  
	
  	
  	
  	
  	
  	
  	
  Maria Camila Prieto Nassar
	
  
	
  
	
  
Maria Camila Rico	
  
	
  
	
  
	
  
	
  	
  	
  	
  	
  	
  	
  Maria Thomas	
  
	
  
Approvals
Professor Forst
_______________________________________________ __________________
Signature	
  
	
   	
   	
   	
   	
   	
   	
   	
   	
   Date	
  
Better Day Health
_______________________________________________ __________________
Signature	
   	
   	
   	
   	
   	
   	
   	
   	
   Date	
  
APPENDIX	
  CONTINUED…	
  
PROJECT	
  CHARTER	
  CONTINUED…	
  
 
35	
  
Work	
  Consulted	
  
"About	
  Rapides	
  Regional	
  Physician	
  Group."	
  Alexandria	
  Network	
  of	
  Doctors.	
  Alexandria	
  Network	
  of	
  
Doctors,	
  n.d.	
  Web.	
  27	
  Sept.	
  2015.	
  
	
  
"Alabama	
  Orthopaedic	
  Center	
  Physicians."	
  Alabama	
  Orthopaedic	
  Center.	
  Alabama	
  Orthopaedic	
  
Center,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Andrews	
  Sports	
  Medicine	
  &	
  Orthopaedic	
  Center."	
  Andrews	
  Sports	
  Medicine	
  And	
  Orthopaedic	
  
Center	
  (Birmingham,	
  Alabama.	
  Andrews	
  Sports	
  Medicine,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
Athenahealth,	
  Inc.	
  (2014).	
  Form	
  10-­‐K	
  2014.	
  Retrieved	
  from	
  SEC	
  EDGAR	
  website	
  
http://www.sec.gov/edgar.shtml	
  
	
  
"Atlanta	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  Bureau."	
  Atlanta	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  
Bureau.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Atlanta	
  Hospitals,	
  Clinics	
  and	
  Healthcare	
  |	
  Atlanta,	
  GA	
  |	
  Emory	
  Healthcare."	
  Emory	
  Healthcare.	
  
Emory	
  University,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Baton	
  Rouge	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  Bureau."	
  Baton	
  Rouge	
  (city)	
  QuickFacts	
  
from	
  the	
  US	
  Census	
  Bureau.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Baylor	
  College	
  of	
  Medicine."	
  Baylor	
  College	
  of	
  Medicine.	
  N.p.,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
Better	
  Day™	
  Health.	
  Better	
  Day	
  Health,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Biloxi	
  Orthopedic	
  Doctors."	
  Orthopedic	
  Doctors	
  in	
  Biloxi,	
  Mississippi	
  with	
  Reviews	
  &	
  Ratings.	
  Yellow	
  
Pages,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Biloxi	
  Population	
  -­‐	
  Google	
  Search."	
  Biloxi	
  Population	
  -­‐	
  Google	
  Search.	
  Google,	
  n.d.	
  Web.	
  10	
  Oct.	
  
2015.	
  
	
  
"Birmingham	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  Bureau."	
  Birmingham	
  (city)	
  QuickFacts	
  from	
  the	
  
US	
  Census	
  Bureau.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Birmingham	
  University	
  Hospital."	
  University	
  Hospital	
  in	
  Birmingham,	
  Alabama	
  with	
  Reviews	
  &	
  
Ratings.	
  Yellow	
  Pages,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
City	
  of	
  Orange	
  demographics.	
  (n.d.).	
  Retrieved	
  September	
  21,	
  2015,	
  from	
  
http://www.orangetexas.net/about-­‐orange/city-­‐of-­‐orange-­‐demographics/	
  
	
  
Current	
  Atlanta,	
  Georgia	
  population,	
  demographics	
  and	
  stats	
  in	
  2014,	
  2015.	
  (n.d.).	
  Retrieved	
  
September	
  24,	
  2015,	
  from	
  https://suburbanstats.org/population/georgia/how-­‐many-­‐people-­‐
live-­‐in-­‐atlanta	
  
 
36	
  
	
  
Current	
  Beaumont,	
  Texas	
  population,	
  demographics	
  and	
  stats	
  in	
  2014,	
  2015.	
  (n.d.).	
  Retrieved	
  
September	
  21,	
  2015,	
  from	
  https://suburbanstats.org/population/texas/how-­‐many-­‐people-­‐
live-­‐in-­‐beaumont	
  
	
  
"Current	
  Birmingham,	
  Alabama	
  Population,	
  Demographics	
  and	
  Stats	
  in	
  2014,	
  2015."	
  
SuburbanStats.org.	
  Suburban	
  Stats,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
Current	
  Charlotte	
  population,	
  demographics,	
  and	
  stats	
  in	
  2014,	
  2015.	
  (n.d.).	
  Retrieved	
  September	
  
24,	
  2015,	
  from	
  https://suburbanstats.org/population/north-­‐carolina/how-­‐many-­‐people-­‐
live-­‐in-­‐charlotte	
  
	
  
Current	
  Jackson	
  population,	
  demographics,	
  and	
  stats	
  in	
  2014,	
  2015.	
  (n.d.).	
  Retrieved	
  September	
  
25,	
  2015,	
  from	
  https://suburbanstats.org/population/mississippi/how-­‐many-­‐people-­‐live-­‐in-­‐
jackson	
  
	
  
"Current	
  Shreveport,	
  Louisiana	
  Population,	
  Demographics	
  and	
  Stats	
  in	
  2014,	
  2015."	
  
SuburbanStats.org.	
  Suburban	
  Stats,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Demographics."	
  The	
  Official	
  Website	
  of	
  the	
  City	
  of	
  Austin.	
  Austin,	
  Texas,	
  n.d.	
  Web.	
  23	
  Oct.	
  2015.	
  
	
  
"Division	
  of	
  Student	
  Affairs."	
  Health	
  Center.	
  University	
  of	
  Houston,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Dr.	
  Davidson,	
  Orthopedic	
  Surgery	
  Specialist,	
  Alexandria,	
  LA."	
  Healthgrades.	
  Healthgrades,	
  n.d.	
  
Web.	
  20	
  Oct.	
  2015.	
  
	
  
"Excellence	
  In	
  Orthopedic	
  &	
  Spine	
  Care."	
  Specialists	
  Health	
  System.	
  Specialists	
  Health	
  System,	
  n.d.	
  
Web.	
  10	
  Oct.	
  2015.	
  
	
  
Fuel	
  Economy.	
  U.S.	
  Department	
  of	
  Energy,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
Greenway	
  Medical	
  Technologies,	
  Inc.	
  (2013).	
  Form	
  10-­‐K	
  2013.	
  Retrieved	
  from	
  SEC	
  EDGAR	
  
	
   website	
  http://www.sec.gov/edgar.shtml	
  
Google	
  Maps.	
  N.p.,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Health	
  Care	
  per	
  Capita	
  by	
  State	
  of	
  Residence."	
  State	
  Health	
  Facts.	
  The	
  Henry	
  J.	
  Kaiser	
  Family	
  
Foundation,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
Henry	
  Schein,	
  Inc.	
  (2014).	
  Form	
  10-­‐K	
  2014.	
  Retrieved	
  from	
  SEC	
  EDGAR	
  website	
  
	
   http://www.sec.gov/edgar.shtml	
  
"Home."	
  Highland	
  Clinic.	
  Highland	
  Clinic,	
  n.d.	
  Web.	
  11	
  Oct.	
  2015.	
  
	
  
 
37	
  
"Houston	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  Bureau."	
  Houston	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  
Census	
  Bureau.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"How	
  far	
  from	
  New	
  Orleans	
  to	
  Biloxi	
  -­‐	
  Google	
  Search."	
  How	
  far	
  from	
  New	
  Orleans	
  to	
  Biloxi	
  -­‐	
  Google	
  
Search.	
  Google,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
“Industry	
  Information	
  –	
  Healthcare.”	
  MarketLine.	
  Progressive	
  Digital	
  Media	
  Ltd.,	
  n.d.	
  Web.	
  10	
  Oct.	
  
2015.	
  
"Jackson	
  Orthopedic	
  Clinic."	
  Jackson	
  Orthopedic	
  Clinic.	
  Jackson	
  Orthopedic,	
  n.d.	
  Web.	
  25	
  Sept.	
  
2015.	
  
	
  
"Jackson	
  Orthopedic	
  clinics."	
  Orthopedic	
  clinics	
  in	
  Jackson,	
  Mississippi	
  with	
  Reviews	
  &	
  Ratings.	
  
Yellow	
  Pages,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Jackson	
  University	
  Hospital."	
  University	
  Hospital	
  in	
  Jackson,	
  Mississippi	
  with	
  Reviews	
  &	
  Ratings.	
  
Yellow	
  Pages,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Lafayette	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  Census	
  Bureau."	
  Lafayette	
  (city)	
  QuickFacts	
  from	
  the	
  US	
  
Census	
  Bureau.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Latest	
  News."	
  Morehouse	
  School	
  of	
  Medicine.	
  Morehouse	
  College,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Mid	
  State	
  Orthopedics."	
  Mid	
  State.	
  Mid	
  State	
  Orthopedics,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
Myers,	
  Mason.	
  "Five	
  Forces	
  Of	
  Competition,	
  Michael	
  Porter	
  |	
  Competitive	
  Advantage,	
  
Differentiation	
  |	
  Business	
  Blog	
  for	
  Business	
  Owners,	
  Investors."	
  Mason	
  Myers	
  Blog.	
  Disqus,	
  
3	
  Feb.	
  2013.	
  Web.	
  12	
  Nov.	
  2015.	
  
	
  
"Orthopedic	
  Specialists	
  of	
  Alabama,	
  P.C."	
  Healthgrades.	
  HealthGrades,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Orthopedic	
  Clinic	
  Alexandria,	
  LA."	
  Google.	
  Google,	
  n.d.	
  Web.	
  27	
  Sept.	
  2015.	
  
	
  
"Orthopedic	
  Clinic	
  in	
  Austin,	
  Texas	
  with	
  Reviews	
  &	
  Ratings."	
  Orthopedic	
  Clinic	
  in	
  Austin.	
  Orthopedic	
  
Clinic	
  in	
  Austin,	
  n.d.	
  Web.	
  15	
  Oct.	
  2015.	
  
	
  
"Orthopedic	
  Clinics	
  in	
  Houston."	
  Google.	
  Google,	
  n.d.	
  Web.	
  30	
  Sept.	
  2015.	
  
	
  
"Orthopedic	
  Surgery."	
  Gulfport	
  Memorial	
  Hospital.	
  Memorial	
  Hospital	
  of	
  Gulfport,	
  n.d.	
  Web.	
  25	
  
Sept.	
  2015.	
  
	
  
"Our	
  Docs."	
  Orthopedics	
  For	
  Kids.	
  Orthopedics	
  For	
  Kids,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Our	
  Locations	
  |	
  LSU	
  Healthcare	
  Network	
  Hospital	
  Addresses	
  &	
  Contact	
  Info."	
  Our	
  Locations	
  |	
  LSU	
  
Healthcare	
  Network	
  Hospital	
  Addresses	
  &	
  Contact	
  Info.	
  Louisiana	
  State	
  University,	
  n.d.	
  
Web.	
  10	
  Oct.	
  2015.	
  
	
  
 
38	
  
	
  
	
  
"Physicians."	
  Physicians	
  |	
  Lemak.	
  Lemak	
  Sports	
  Medicine	
  &	
  Orthopedics,	
  n.d.	
  Web.	
  30	
  Sept.	
  2015.	
  
	
  
"Population	
  Estimates,	
  July	
  1,	
  2014,	
  (V2014)."	
  QuickFacts.	
  US	
  Census	
  Bureau,	
  n.d.	
  Web.	
  10	
  Oct.	
  
2015.	
  
	
  
"Population."	
  In	
  the	
  U.S.	
  -­‐	
  Google	
  Public	
  Data	
  Explorer.	
  Google,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Providers."	
  Central	
  MS	
  Bone	
  and	
  Joint	
  Specialists	
  in	
  Jackson.	
  MeritHealth	
  Medical	
  Group,	
  n.d.	
  
Web.	
  25	
  Sept.	
  2015.	
  
"Search	
  Results	
  -­‐-­‐	
  Baton	
  Rouge."	
  Facilities	
  in	
  Baton	
  Rouge,	
  Louisiana	
  (LA).	
  HealthGrades,	
  n.d.	
  Web.	
  
10	
  Oct.	
  2015.	
  
	
  
"Search	
  Results	
  -­‐-­‐	
  Birmingham."	
  Healthgrades.	
  HealthGrades,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Search	
  Results-­‐-­‐Atlanta."	
  Healthgrades.	
  Healthgrades,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Search	
  Results-­‐-­‐Baton	
  Rouge."	
  Healthgrades.	
  Healthgrades,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Search	
  Results-­‐-­‐Houston."	
  Healthgrades.	
  Healthgrades,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Search	
  Results."	
  Biloxi	
  Physician	
  Search	
  Results.	
  MeritHealth	
  Biloxi,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Shreveport	
  Orthopedic	
  Clinic."	
  Yellow	
  Pages.	
  Yellow	
  Pages,	
  n.d.	
  Web.	
  13	
  Oct.	
  2015.	
  
	
  
"Specialties."	
  Advanced	
  Orthopedic	
  Associates,	
  PC.	
  American	
  Academy	
  of	
  Orthopedic	
  Surgeons,	
  
n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"Spine	
  Medical	
  Centers	
  in	
  Mississippi."	
  Spine	
  Medical	
  Center.	
  Spine	
  Medical	
  Center,	
  n.d.	
  Web.	
  25	
  
Sept.	
  2015.	
  
	
  
"Thomas	
  E.	
  Powell,	
  MD	
  |	
  Birmingham	
  Arthroscopic	
  Surgery,	
  Joint	
  Replacement."	
  Thomas	
  E.	
  Powell,	
  
MD	
  |	
  Birmingham	
  Arthroscopic	
  Surgery,	
  Joint	
  Replacement.	
  N.p.,	
  n.d.	
  Web.	
  1	
  Oct.	
  2015.	
  
	
  
Trivago.	
  Trivago,	
  n.d.	
  Web.	
  25	
  Sept.	
  2015.	
  
	
  
"UAB	
  Hospital	
  -­‐	
  UAB	
  Medicine."	
  UAB	
  Hospital	
  -­‐	
  UAB	
  Medicine.	
  University	
  of	
  Alabama-­‐Birmingham,	
  
n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"University	
  Hospitals	
  in	
  Houston."	
  Google.	
  Google,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"UT	
  Health	
  Science	
  Center	
  at	
  Houston	
  -­‐	
  Main	
  -­‐	
  UTHealth."	
  UT	
  Health	
  Science	
  Center	
  at	
  Houston	
  -­‐	
  
Main	
  -­‐	
  UTHealth.	
  N.p.,	
  n.d.	
  Web.	
  10	
  Oct.	
  2015.	
  
	
  
"Willis-­‐Knighton	
  Health	
  System	
  News."	
  Willis-­‐Knighton	
  Health	
  System.	
  Willis-­‐Knighton	
  Health	
  
System,	
  n.d.	
  Web.	
  17	
  Oct.	
  2015.	
  
	
  

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(Grey Matter) Final Report

  • 1.   1     Expansion Recommendations GREY MATTER CONSULTING v   v   v  
  • 2.   2   TABLE  OF  CONTENTS   Executive  Summary……………………………........................................................................3   Introduction……………………………………………………………………………………………………………..4     Business  Description………………………………………..………………………………………………..…….4   Business  Problem……………………………………………................................................4                                                                           Project  Description.……………………………………………………………………………….........5                                                                               Project  Objectives……………………………………………...............................................6                                                                             SWOT  Analysis...................................................................................................6     Porter’s  5  Forces  Analysis…………………………….……….……………..……………………...7     Initial  Market  Research  &  Analysis……………….…...…….................................................8     Decision  Matrix……………………………………………................................................10                                                                             Rationale  Behind  Strategy.…………………………..................................................12                                                                                Decision  Matrix  Results…………………………………..............................................14       Houston  Analysis…………………………………………………………………………………………………….15   Atlanta  Analysis………………………………………………………..…………………………………………….17   Birmingham  Analysis……………………….………………………………………………..……………………20   Baton  Rouge  Analysis…………………………………………………………………………………..…………24   Marketing  Budget……………………………………………………………………………………………………24   Conclusions  and  Final  Recommendation…………………………………………………………………25   Appendix…………………………………………………………………………………………………………………26   Spreadsheet……….…………………………………………………………………………..……………26   PowerPoint  Slides…………………………………………………………………………..……………29   Project  Charter………………………………………………………………………………..…………..33   Bibliography…………………………………………………………………………………………………………….39                                            
  • 3.   3             RESEARCH  &  ANALYSIS                                                                                                                                                   In  this  report,  we  have  examined  twelve  possible  cities  for  expansion,  and  evaluated  the  attractiveness   of  each.  Twelve  cities  were  superficially  evaluated  to  find  the  three  best  options  for  BDH  through  an   intensive  decision  matrix.  We  then  researched  each  of  these  three  cities  to  determine  the  best   opportunity  for  expansion  and  input  them  in  a  second  decision  matrix  to  determine  which  cities  were   the  most  attractive.     HOUSTON                                                         Houston  is  the  most  attractive  market  for  BDH  to  enter  due  to  its  strong  results  in  the  decision  matrix.   Houston’s  large  presence  of  university  hospitals  and  orthopedic  clinics—a  specialized  area  BDH  has   already  successfully  entered,  as  well  as  its  large  total  population,  makes  it  a  strong,  viable  market  for   BDH.   ATLANTA                                                                                                                                                                                                                                                                                                                         Atlanta  ranked  second  in  our  overall  decision  matrix  as  it  showed  strong  results  across  almost  all  of  our   categories.    With  a  large  population,  the  Emory  University  system,  and  many  additional  opportunities   for  BDH  to  expand  and  grow,  Grey  Matter  Consulting  has  pegged  Atlanta  as  the  second  most  attractive   market  in  the  Gulf  South  region.       BIRMINGHAM                                                                                                                                                                                                                                                                                                                                       Birmingham  is  the  third  most  attractive  city  for  BDH’s  expansion.  Birmingham  consistently  scored   lower  than  both  Atlanta  and  Houston  in  the  decision  matrix  and  proves  to  be  a  smaller  city  with  less   opportunity  of  success.  Nevertheless,  as  it  is  going  to  be  explained  later  in  detail,  Birmingham  has   attractive  factors  that  are  beneficial  if  the  company  wants  to  initiate  their  expansion  with  a  small   market.     MARKETING  BUDGET  &  CONCLUSION                 Lastly,  we  investigated  the  normal  level  of  the  marketing  budget  for  companies  that  are  in  a  similar   field  to  BDH.  This  helped  us  recommend  a  budget  to  BDH,  as  well  as  give  suggestions  as  to  how  they   should  divide  the  budget  between  the  three  cities.  Overall,  this  report  details  where  BDH  should   attempt  to  expand  to  next.         EXECUTIVE  SUMMARY     Better  Day  Health  (BDH)  offers  an  Electronic  Healthcare  Record  (EHR)  system  that  has   the  potential  to  spread  throughout  doctors’  offices  across  the  country.  To  this  end,   BDH  must  expand  the  markets  they  reach.    
  • 4.   4     Business  Description   Better  Day  Health  (BDH)  is  a  medical  technology  company  that  focuses  on  electronic  data  entry  and   transcription   of   patient   health   records.   The   company   integrates   innovations   in   the   technology   and   healthcare   industries   to   create   a   superior   platform   for   both   doctors   and   patients.     The   company   is   driving  a  completed  trial  version  of  its  technologies  through  two  separate  clinics  in  the  Lake  Charles   area,  and  following  this  BDH  is  projecting  widespread  adoption  in  the  small  clinic  market  segment  due   to  its  ease  of  use  and  ability  to  integrate  with  existing  technologies  in  hospitals  and  doctors’  offices.     Compounding   this,   BDH   has   also   begun   integration   with   the   LSU   medical   system,   therein   setting   themselves  up  as  a  potential  niche  leader  in  medical  education.  With  these  advances,  BDH  has  set  itself   up  for  success  in  its  goal  to  free  up  doctors  “from  being  the  most  expensive  data  clerks  on  the  market,”   (Better  Day  Health).     INTRODUCTION   Business  Problem   BDH  knows  that  they  have  created  a  successful   innovation  in  the  healthcare  industry.  Currently,  the   company  is  looking  for  their  best  options  to  expand  their   reach  of  this  product.  BDH  is  confident  that  they  are   ready  to  expand  themselves,  but  they  lack  the   knowledge  of  markets  outside  of  their  current  scope.   They  require  an  analysis  of  both  the  demographics  and   the  healthcare  industry  in  other  major  cities  around  the   Southern  and  Eastern  regions  of  the  United  States,  in   order  to  make  a  determination  of  the  best  cities  to  focus   their  expansion  efforts.  Furthermore,  this  company   needs  an  analysis  of  the  educational  medical  communities   in  some  major  cities,  such  as  LSU  and  Emory,  and  the   potential  to  integrate  BDH  technology  into  their  systems.   Finally,  BDH  lacks  an  understanding  of  how  to  allocate   their  marketing  resources  effectively  in  terms  of  this   expansion  plan.    
  • 5.   5     PROJECT  DESCRIPTION   In  recognition  of  BDH’s  potential  for  widespread  growth,  our  project  identifies  three  cities  that   will  be  the  most  attractive  targets  for  early  expansion.  In  so  doing,  we  have  composed  a  set  of   factors  which  Grey  Matter  feels  will  indicate  BDH’s  success  in  any  given  market.  With  the   timeline  of  one  to  one  and  a  half  years  in  mind,  this  report  highlights:   To  determine  our  final  three  candidates,  Grey  Matter  Consulting  examined  BDH's  preliminary   list  of  12  target  cities.  We  then  began  brainstorming  and  researching  the  EHR  marketplace   before  creating  a  decision  matrix  to  narrow  the  list  of  twelve  potential  targets  to  three.  With   these  three  cities  chosen,  we  gathered  additional  data  and  examined  each  city  under  more   detailed  criteria.  In  so  doing,  we  have  created  a  list  of  important  factors  that  Grey  Matter   Consulting  feels  will  indicate  success  in  a  given  region,  as  well  as  constructing  a  model  to   provide  a  clear  order  of  attractiveness  among  our  final  three  cities.  Using  this  recommendation,   BDH  can  focus  its  resources  on  attractive  expansion  efforts  that  will  create  the  seed  from  which   BDH  can  grow  across  the  Gulf  South  region.     • Three  cities  most  ripe  for  BDH’s  expansion   • Explanation  of  the  attractiveness  of  each  city   • Recommended  prioritization  for  the  allocation  of  company  resources Retrieved  From  Better  Day  Health  
  • 6.   6       Additionally,  our  project  encompasses  two  other  facets  of  BDH’s  business.  Beyond  the  three  cities  we   have  analyzed  in  depth,  we  also  gathered  basic  information  and  applied  our  matrix  to  the  city  of  Baton   Rouge.  BDH  is  already  in  talks  with  LSU  Hospitals,  and  therefore  we  chose  to  remove  the  city  from  our   suggestions.    However,  having  this  information  may  provide  additional  confidence  for  this  expansion   into  the  LSU  Hospital  system.  Finally,  we  researched  similar  companies  within  the  targeted  region  to   provide  an  estimated  budget  for  BDH’s  marketing  strategy.  Within  this  estimated  budget,  we   recommend  a  certain  level  of  spending  to  go  towards  each  of  the  three  top  cities,  in  accordance  with   market  size  and  attractiveness.  Overall,  this  report  contains  an  analysis  of  which  cities  are  the  best   targets  for  BDH’s  expansion,  and  a  target  amount  for  BDH’s  marketing  budget  in  each  city.     PROJECT  DESCRIPTION  CONTINUED…   • Narrow  BDH’s  preliminary  list  of  12  potential   markets  down  to  3  candidates  for  expansion.   • Analyze  these  3  cities  and  determine  the  factors   that  will  indicate  BDH’s  success  in  each  market.   • Compose  a  marketing  budget  for  BDH  based  on   comparable  companies  in  the  target  region.   • Provide  a  plan  for  distribution  of  marketing  budget   based  on  city  attractiveness  analyzed  previously.   Project  Objectives   SWOT  Analysis:   In  order  to  analyze  BDH’s  position  in  the  industry,  Grey   Matter  conducted  a  SWOT  analysis.  One  of  the  company’s   main  strengths  is  its  EHR  software’s  ability  to  consolidate   all  comprehensive  patient  records  to  reduce  costs  and   wasted  time.  On  the  other  hand,  one  of  BDH’s  main   weaknesses  lies  in  the  fact  that  healthcare  professionals   must  be  trained  to  properly  operate  the  software  and,  as   a  result,  these  people  might  be  hesitant  to  adopt  a  new   routine.  There  are  many  opportunities  BDH  can  take   advantage  of  in  the  healthcare  industry.  One  of  the  main   opportunities  is  the  attractiveness  of  the  healthcare   sector,  which  is  projected  to  grow  33.4%  by  2018.   (Marketline,  2014).    BDH’s  biggest  threats  are  the   regulations  it  might  face  in  the  future.  These  regulations   include,  but  are  not  limited  to,  privacy,  security,  and   quality  regulations.     SWOT  ACRONYM   Strengths   Internal   Weaknesses  Internal   Opportunities  External   Threats  External  
  • 7.   7     Retrieved  from  masonmyers.com   Porter’s  Five  Forces   Analysis:   A  quick  analysis  of  the   industry  shows  Better  Day   Health  to  have  a  strong,   but  not  steadfast,  position   in  the  Electronic  Health   Records  (EHR)  industry.   Buyer  power,  supplier   power,  rivalry  among   existing  competitors,   threat  of  new  entry,  and   threat  of  substitution  are   the  elements  to  examine   in  order  to  determine  the   position  of  BDH  in  the  EHR   industry.   BDH  has  medium  to  high  buyer  power  because  older  EHR  systems  are  becoming  outdated   due  to  new  Affordable  Care  Act  mandates  and  disapproval  of  other  current  EHR  systems.   The  supplier  power  of  BDH  is  low  to  medium  due  to  a  combination  of  the  contracts  BDH   has  in  place  which  mitigate  their  risk  as  well  as  the  value  of  their  proprietary  algorithms   and  in-­‐house  coding  which  allows  their  data  system  to  outperform  competitors.     There  is  a  high  degree  of  rivalry  among  competitors,  which  stems  from  constant  advances   of   technology   making   staying   on   top   a   challenge.   The   threat   of   new   entry   in   the   EHR   market  is  medium  to  high  because  of  the  threat  of  the  technology  being  easily  duplicated.   The  threat  of  substitution  BDH  faces  is  medium  to  low  as  they  do  not  yet  have  a  direct   competitor.  Other  EHR  systems  still  allow  for  doctors  to  manually  enter  their  patient  data,   or  doctors  can  contract  with  a  third  party  to  input  this  data.  BDH  is  the  only  EHR  system   currently   on   the   market   that   allows   doctors’   dictation   to   enter   health   records   into   the   system.     Changes  in  the  current  EHR  mandate  could  cause  an  influx  in  threats  of  substitution,  which   can   effect   the   survival   of   BDH.   The   firm,   overall,   has   a   wide   variety   of   strengths   and   opportunities  that  can  be  taken  advantage  of.  Likewise,  adequate  planning  and  execution   by   BDH   can   mitigate   the   forces   of   the   threats   of   new   entrants   and   rivalry   among   competitors,  making  them  a  steady  contender  in  the  EHR  systems  market.  
  • 8.   8   INITIAL  MARKETRESEARCH  &  ANALYSIS   To  identify  the  three  target  cities  from  the   original  twelve  options,  we  developed  weighted   criteria  to  properly  evaluate  each  city’s   attractiveness  for  BDH.  We  did  this  by   constructing  a  decision  matrix  in  Microsoft  Excel,   inputting  the  following  data  and  calculating  which   three  cities  best  fit  BDH’s  target  market  needs.   We  distributed  the  weights  as  follows:   • University  hospitals:  30%   • Number  of  orthopedic  clinics:  25%   • Number  of  doctors:  20%   • Distance  from  New  Orleans:  15%   • Population:  10%   INITIAL  MARKET  ASSESSMENT     Lafayette,  LA   Alexandria,  LA   Shreveport,  LA   Beaumont,  TX   Orange,  TX   Austin,  TX   Houston,  TX   Jackson,  MS   Biloxi,  MS   Charlotte,  NC   Birmingham,  LA   Atlanta,  GA     Overall,  we  researched  the  above  data,  and  decided  that  Atlanta,  Birmingham,  and   Houston  were  the  most  attractive  cities  of  the  twelve  options  presented  by  the   client.  Better  Day  Health  provided  a  list  of  12  initial  cities  which  they  were   considering  for  expansion.  The  cities  included  in  the  original  12  are  as  follows:    
  • 9.   9   University  hospitals  were  given  the  most  weight  because  we  feel  the  client  values  that  the   target  market  should  have  at  least  one  university  hospital.     University  Hospitals   Orthopedic  clinics  were  the  second  most  weighted  criteria  because  BDH  has  already   experimented  with  orthopedic  clinics,  which  hopefully  will  translate  to  other  cities.  These   clinics  will  be  a  good  resource  for  introducing  the  software  to  physicians.  Clinics  also  have   high  client  traffic  on  a  daily  basis.     INITIAL  MARKET  ASSESSMENT  CONTINUED…   Orthopedic  Clinics   Doctors  are  next  in  rank  because  they  will  be  the  ones  implementing  the   software  in  their  practices  and  marketing  the  software  to  their  vast  healthcare   networks.     Doctors   Distance  from  New  Orleans  follows  because  it  impacts  the  attraction  of  a  city;  the   client  expressed  that  keeping  travel  costs  low  was  important.  BDH  representatives   will  have  to  travel  to  the  target  areas  to  market  the  product  and  help  physicians,   Distance   Population  is  the  least  weighted  criterion  in  the  initial  market  assessment.   Population  is  indicative  of  a  city’s  general  market  size  but  also  unspecific  to  the   EHR  industry  BDH  is  interested  in  reaching. Population   Baton  Rouge  was  considered  (making  13  cities),  however,  since  BDH  already  is   looking  into  operations  in  the  Baton  Rouge  area,  it  was  excluded  from  our  research   of  new  market  cities  available  to  BDH.  We  then  brainstormed  and  compiled  a  list  of   criteria  to  shorten  the  list  of  cities  from  12  to  three,  based  on  requests  from  BDH   and  what  we  thought  were  relevant  criteria.  After  deciding  on  the  five  criteria   factors  above,  we  ranked  them  as  previously  mentioned  and  the  outcomes  from   the  decision  matrix  concluded  Atlanta,  Houston,  and  Birmingham  are  the  top  three   choices  for  expansion  by  BDH.  
  • 10.   10       Initial  Market  Assessment   Factor   Existence  of   University   Hospitals   Number  of   Orthopedic   Clinics   Number  of   Physicians   Population   Distance  from   New  Orleans   (miles)   Overall   Ranking   Factor  Weight     30%   25%   20%   10%   15%   City       Rank   Rank   Rank     Rank       Baton  Rouge   1   7   8   5   1   4   Lafayette   2   11   10   11   3   9   Alexandria   2   9   10   9   5   11   Shreveport   1   5   6   7   7   8   Beaumont/Orange   2   12   12   10   6   11   Austin   1   4   5   2   11   6   Houston   1   1   1   1   9   1   Jackson   1   8   7   8   4   5   Biloxi   2   10   9   12   2   10   Charlotte   1   5   4   3   12   7   Birmingham   1   3   3   6   8   3   Atlanta   1   2   2   4   10   2   INITIAL  MARKET  ASSESSMENT  CONTINUED…   After  determining  the  three  most  important  cities  for  Better  Day  Health´s  expansion,  Grey   Matter   Consulting   considered   it   essential   to   define   the   order   of   importance   of   the   final   cities.  We  designed  a  decision  matrix  in  order  to  obtain  this  information.  The  decision  matrix   presented  the  following  result:     1.  Houston      2.  Atlanta      3.  Birmingham   FINAL  DECISION  MATRIX  
  • 11.   11   FINAL  DECISION  MATRIX  CONTINUED…   The  decision  matrix  compared  the  three  cities  on  13  aspects  that  are  divided  in  three  factors.   Each  factor  was  assigned  a  certain  weight;  the  factors  of  each  category  add  up  to  100%     Population  (33.3%)                                                                     Population  0-­‐5  (3.33%)                                   Population  6-­‐18  (3.33%)       Population  19-­‐64  (6.67%)     Population  65+  (6.67%)   Median  Household  Income  (20%)   DEMOGRAPHICS100%   MARKET100%   Number  of  Hospitals  (16%)                             Number  of  University  Hospitals   (26.67%)                                                                                       Number  of  Orthopedic  Clinics  (24%)                                                                                     Number  of  Physicians  (16.67%)                           Total  Health  Expenditure  (16.67%)   COST  OF  TRAVEL100%   Cost  of  Travel  (Flying)  (35%)   Cost  of  Travel  (Driving)  (35%)   Cost  of  Hotel  Stay  (30%)     After   repeating   the   same   process   in   each   of   the   13   aspects,   we   obtained   a   score   (based  on  the  rank)  for  each  city  in  each  factor.  The  dimensions  were  each  awarded  a   percentage  weight,  with  the  best  city  in  each  category  receiving  100%,  second  place   receiving  75%  of  possible  points,  and  third  receiving  50%.  Finally,  in  order  to  determine   the  total  score  of  each  city  we  multiplied  each  score  by  each  factor  and  added  them.   Then  we  ranked  the  cities  depending  on  their  score.  It  is  important  to  note  that  the   highest  score  possible  is  100.     From  this  information,  the  group  determined  in  which  order  BDH  should   focus  their  time  and  marketing  research.     Factor Houston Birmingham Atlanta Demographics 10.00 5.88 12.63 Market 75.00 37.38 50.25 Cost of Travel 5.88 5.75 3.38 Total 90.88 49.00 66.25  
  • 12.   12       RATIONALE  BEHIND  STRATEGY   Each   item   in   our   decision   matrix   was   chosen   because   we   felt   it   would   affect   the   overall   attractiveness   of   a   city   to   Better  Day  Health.  Explained  here  is  our  rationale  for  each   category  we  evaluated:     The  number  of  orthopedic  clinics  is  a  key  feature  of  attractiveness  in  a  city  because  of  the  numerous   leads  those  clinics  provide  for  Better  Day  Health  to  explore.    One  of  BDH’s  main  investors  runs  an   orthopedic  clinic  in  Lake  Charles,  and  BDH  has  already  begun  their  pilot  program  in  the  center.    The   experience  with  orthopedics  will  be  invaluable  to  the  company  moving  forward  and  therefore  Grey   Matter  Consulting  felt  that  this  element  was  a  crucial  indicator  of  potential  success  for  BDH.   Orthopedic  Clinics   Beyond  the  number  of  clinics,  Grey  Matter  Consulting  has  examined  the  demographic  data  of  each   city’s  population.    As  a  healthcare  product,  BDH  will  benefit  from  an  aging  population,  as  it  will  lead   to  increases  in  a  city’s  healthcare  expenditure  in  the  future.    According  to  an  article  from  the  US   National  Library  of  Medicine  and  National  Institutes  of  Health,  the  aging  population,  specifically   those  65+,  require  a  higher  portion  of  work  within  the  orthopedic  specialty  and  therefor  an  aged   population  will  be  indicative  of  demand  for  BDH’s  product.       Population   Although  Better  Day  Health  is  a  derivative  product,  which  consumers  themselves  will  not  purchase,   the  wealth  of  the  population  is  highly  indicative  of  the  quality  and  quantity  of  healthcare  services   located  in  the  region.  People  that  are  insured  can  afford  healthcare,  regular  doctor  visits,  and  as  a   result  are  good  candidates  for  BDH’s  services.  The  higher  the  healthcare  expenditure  in  a  city,  the   more  potential  BDH  has  to  successfully  enter  a  new  market.  Although  EHR  will  only  receive  a  small   portion  of  the  total  healthcare  expenditure  in  each  given  marketplace,  the  larger  the  overall   expenditure  in  a  city,  the  more  attractive  and  valuable  the  market’s  potential  becomes.   FINAL  DECISION  MATRIX  CONTINUED…   Health  Care  Expenditure    
  • 13.   13     RATIONALE  BEHIND  STRATEGY  CONTINUED…   Hospitals,  in  general,  act  as  a  strong  resource  for  BDH,  because  they  allow  the  company  to  reach  a   large  number  of  physicians  with  whom  they  can  build  lasting  and  positive  relationships.  Therefore,   the  more  hospitals  within  a  given  city,  the  better  chance  BDH  has  to  enter  into  the  one  of  these   healthcare  institutions  and  gain  a  valuable  client.  Beyond  this,  the  presence  of  a  medical  school   within  a  target  city  represents  an  amazing  opportunity  for  Better  Day  Health.  With  the  proposed   integration  into  LSU  Health,   the   company  is  on  track   to  establish  itself  as   a  niche  player  in  the   medical  school  community.      In  Grey  Matter  Consulting’s  opinion,  this  represents  the  most  viable   strategy  for  BDH’s  success,  as  the  high  graduation  rates  from  these  hospitals  will  provide  Better   Day  Health  with  hundreds  of  physicians  trained  to  work  with  BDH  software,  who  can  then  further   spread  the  technology  throughout  their  career.   Hospitals     In   addition   to   research   on   the   number   of   hospitals   and   orthopedic   clinics   in   a   given   city,   Grey   Matter  Consulting  felt  it  was  prudent  to  determine  the  number  of  orthopedic  physicians  within   each  city.  These  physicians  are  the  clients  BDH  is  directly  targeting  with  their  product,  as  it  will  be   the  Physicians,  not  citizens,  who  will  drive  the  demand  for  BDH’s  system  in  their  practices.    Beyond   this,  Physicians  also  represent  an  invaluable  marketing  tool  for  BDH.    These  users  will  create  an   organic   word   of   mouth   campaign,   in   which   they   will   refer   and   promote   BDH’s   services   to   colleagues  in  the  healthcare  industry.  Therefore,  building  lasting  relationships  with  a  large  number   of  orthopedic  physicians  is  critical  to  the  long-­‐term  success  of  BDH  in  any  city  that  it  chooses  to   expand  its  services.   Physicians     As  a  startup  with  limited  resources,  BDH  must  be  conscientious  of  the  money  it  spends  towards   client  acquisition  and  marketing.    Unfortunately,  however,  the  nature  of  the  EHR  requires  BDH  to   build  strong  relationships  with  doctors  and  hospitals  in  order  to  market,  explain,  and  implement   BDH’s  system.    This  will  lead  to  numerous  trips  between  BDH  and  potential  clients,  therefore  low   travel  costs  are  a  critical  factor  in  targeting  a  new  market.     Cost  of  Travel    
  • 14.   14   RATIONALE  BEHIND  STRATEGY  CONTINUED…   After  inputting  all  of  the  data  into  our  weighted  decision  matrix,  Houston  emerged  as  the  most   attractive  city  for  BDH’s  expansion,  followed  by  Atlanta,  with  Birmingham  ranked  last.  Houston   scored  a  total  of  90.88  points.  Each  city  received  a  score  that  had  three  components:  market,   demographics,  and  cost  of  travel.  Houston  had  the  highest  score  in  both  the  market  and  cost   of   travel   sections,   posting   a   score   of   75.00   and   5.88,   respectively.   Houston   also   landed   in   second   place   in   demographics   with   a   score   of   10.00,   trailing   Atlanta   in   this   category.   The   market  segment  was  the  most  heavily  weighted  section  of  the  decision  matrix;  by  winning  this   segment  handily,  Houston  grabbed  the  top  place  of  the  three  target  cities.       Atlanta  scored  a  total  of  66.25,  with  a  breakdown  of  12.63,  50.25,  and  3.38  in  Demographics,   Market,  and  Cost  of  Travel,  respectively.  Birmingham  landed  in  last  place,  with  a  total  of  49.00   points.  Birmingham  scored  37.38  in  the  market  category,  the  lowest  score  in  this  segment.  The   large  separation  between  Houston  and  the  two  cities  below  it  results  almost  entirely  from  the   gap  in  market  segment  scores.  Based  on  these  results,  we  recommend  Houston  as  the  most   attractive  city  for  Better  Day  Health’s  expansion  efforts.     FINAL  DECISION  MATRIX  RESULTS  
  • 15.   15     HOUSTON     Houston  ranked  first  in  our  overall  decision  matrix  due  to  its  high  population,  large  number  of   hospitals  and  orthopedic  clinics,  and  high  total  healthcare  expenditure.  With  so  many  attractive   attributes,  Grey  Matter  Consulting  believes  BDH  will  be  able  to  successfully  expand  into  the  Houston   market.   About  9%  of  Houston’s  population  is  over  65  years  old,   which  is  favorable  since  orthopedic  centers  in  Houston   probably  have  a  high  patient  return  rate  (US  Census   Bureau).  The  older  population  will  frequent  Houston’s  many   orthopedic  clinics  more  often  that  the  rest  of  Houston’s   population.     The  median  household  income  for  Houston  comes  in  at  $45,010  (US  Census  Bureau).  Although  this   number  is  below  the  US  median  household  income  of  $53,657  (typical  American  family  earned   $53,657  last  year),  73.94%  of  residents  are  insured  and  can  afford  healthcare,  regular  doctor  visits,   and  as  a  result  are  good  candidates  for  BDH’s  services  (US  Census  Bureau).  With  1,550,271  people   insured,  Houston  has  four  times  more  people  with  healthcare  coverage  than  the  second  leading  city,   Atlanta  (US  Census  Bureau).  The  total  healthcare  expenditure  is  $9,184,066,060  (State  Health  Facts),   which  is  another  reason  Houston  is  an  attractive  market  to  enter  for  BDH.  Houston’s  high  healthcare   expenditure  and  coverage  gives  BDH  a  better  potential  for  market  entry,  since  their  residents  will  go   to  the  doctors  more  frequently  since  they  are  covered.   Demographics   Houston  has  a  total  of  24  hospitals  (including  three   prominent  university  hospitals),  18  more  than  the  second   largest  market  (Birmingham  with  6)  making  this  the  most   attractive  attribute  for  entering  the  Houston  healthcare   market  (Healthgrades).  Houston’s  large  number  of   hospitals  gives  BDH  a  better  opportunity  to  break  into  the   market  because  that  increases  the  number  of  physicians   they  can  include  in  their  potential  client  base.     Market       Houston  Matrix  Rankings   • University  Hospitals   1   • Total  Hospitals     1   • Total  Orthopedic  Clinic   1   • Total  Physicians     1   • Total  Healthcare       1     Total  Orthopedic  Physicians:   Houston—251     Atlanta—196     Birmingham—156    
  • 16.   16   HOUSTON  CONTINUED…   Market  Continued…   Houston  has  a  large  number  of  orthopedic  clinics,  which  is  another  attractive  reason  to  enter  the   Houston  healthcare  market.  BDH  currently  operates  in  the  orthopedic  market  in  Lake  Charles,  which   provides  credibility  when  trying  to  sell  to  the  orthopedic  clinics  in  Houston.  Because  Houston  has  72   orthopedic  clinics  (Healthgrades),  BDH  has  room  for  growth  within  Houston.   In  addition  to  the  24  Houston  hospitals,  four  of  which  are  university  hospitals,  there  are  a  total   number  of  251  practicing  orthopedic  physicians  (Healthgrades).  Houston  has  the  largest  number  of   orthopedic  physicians  out  of  the  three  target  cities.       Travel   Travel  from  New  Orleans  to  Houston  would  not  require  extensive  funds  with  a  six  hour   drive  time  costing  $41.23  (Fuel  Economy),  a  flying  time  of  one  hour  costing  $109.00,  and  a   hotel  costing  approximately  $169  per  night  (Trivago).     Conclusion   Houston’s  strong  data  characteristics  have  confirmed  it  as  the  most  attractive  market  for   BDH  to  enter.  BDH  has  the  opportunity  to  infiltrate  Houston’s  healthcare  market  and  create   a  strong  brand  presence  in  the  city.     Retrieved  from  www.mdanderson.org/  
  • 17.   17     FINAL MARKET ASSESMENT Market Factors Factor Weight Atlanta Internal % Overall % Rank Score Demographics 100.00% 15.00% 1 12.63 Population 33.33% 5.00% 2 75 Population 0-5yrs 3.33% 0.50% 3 50 Population 6-18yrs 3.33% 0.50% 4 25 Population 19-64yrs 6.67% 1.00% 1 100 Population 65yrs+ 6.67% 1.00% 3 50 Median Household Income 20.00% 3.00% 1 100 Insurance Coverage 26.67% 4.00% 1 100 Market 100.00% 75.00% 2 50.25 Number of Hospitals 16.00% 12.00% 4 25 Number of University Hospitals 26.67% 20.00% 2 75 Number of Orthopedic Clinics 24.00% 18.00% 2 75 Number of Physicians 16.67% 12.50% 2 75 Total Health Expenditure 16.67% 12.50% 2 75 Cost of Travel 100.00% 10.00% 4 3.38 Cost of Travel (Driving) 35.00% 3.50% 4 25 Cost of Travel (Flying) 35.00% 3.50% 3 50 Cost of Hotel Stay 30.00% 3.00% 4 25 Total 100.00% 100.00% 66.25 Overall Ranking 2 ATLANTA   Atlanta  ranked  second  in  our  overall   decision  matrix  as  it  showed  strong   results  across  almost  all  of  our   categories.  With  a  large  population,  the   Emory  University  system,  and  many   additional  opportunities  for  Better  Day   Health  to  expand  and  grow,  Grey  Matter   Consulting  has  pegged  Atlanta  as  the   second  most  attractive  market  in  the   Gulf  South  region.  Using  their   experience  gained  in  New  Orleans  and   Baton  Rouge,  as  well  as  our  data  for  our   top  recommended  city,  Houston,  we   believe  Better  Day  Health  can  establish   itself  as  a  strong  niche  player  in  the   Atlanta  Health  Care  marketplace.     Demographics   In   our   analysis   of   the   Atlanta   marketplace,   Grey   Matter   Consulting   has   honed   in   on   several   key   statistics,  discovered  through  an  analysis  of  the  latest  US  Census  data  from  2014,  which  define  the   size  and   attractiveness  of  the   city.  For   starters,   Atlanta   proper   hosts   an   estimated  population   of   420,256  people  (US  Census  Bureau).  This  places  Atlanta  in  second  on  our  population  ranking  and   provides  a  large  pool  of  potential  clients  for  Better  Day  Health.  Analyzing  this  factor  even  further,   we  found  that  the  age  breakdown  of  Atlanta  matches  the  general  trends  across  the  US.  Next,  Grey   Matter  Consulting  found  that  Atlanta  hosts  the  greatest  average  income  of  our  target  cities.  With   Better  Day  Health  representing  a  top  tier  product  in  the  EHR  marketplace,  it  will  find  a  large  market   with  the  affluent  population  of  the  Atlanta  region.  Lastly,  Grey  Matter  Consulting  has  tracked  the   healthcare  coverage  of  Atlanta’s  population.  With  the  advent  of  the  Affordable  Care  Act  and  the   EHR  mandates  it  contains,  insurance  coverage  is  on  the  rise  across  America.  Fortunately,  however,   Atlanta   is   ahead   of   the   curve   on   insurance   coverage   and   ranks   second   in   its   percentage   of   population  with  health  insurance.  This  will  provide  the  Atlanta  marketplace  with  increased  funding   as  well  as  increasing  the  number  of  individuals  with  access  to  healthcare.    
  • 18.   18     Market Factors Factor Weight Atlanta Internal % Overall % Rank Score Demographics 100.00% 15.00% 1 12.63 Population 33.33% 5.00% 2 75 Population 0-5yrs 3.33% 0.50% 3 50 Population 6-18yrs 3.33% 0.50% 4 25 Population 19-64yrs 6.67% 1.00% 1 100 Population 65yrs+ 6.67% 1.00% 3 50 Median Household Income 20.00% 3.00% 1 100 Insurance Coverage 26.67% 4.00% 1 100 ATLANTA  CONTINUED…   In  any  marketplace  analysis,  one  must   go  beyond  demographic  trends  and   explore  those  key  features  that  help  to   guarantee  a  company’s  successful   expansion.  For  Better  Day  Health,  Grey   Matter  Consulting  discerned  five   features  that  help  to  define  the  size  and   attractiveness  of  Atlanta’s  healthcare   marketplace.  These  include:   • 5  top  tier  hospitals  (Healthgrades)   • 2  medical  schools  with  high  graduation  rates  (Emory  University  and  Morehouse  College)   • 62  Orthopedic  clinics  (Healthgrades)   • 196  Orthopedic  physicians  (Healthgrades)   • About  $2  billion  spent  towards  health  care  expenditure  (State  Health  Facts)   Market     Assuming  BDH  representatives  will  be  traveling  from  New  Orleans,  Grey  Matter  Consulting   has  determined  that  Atlanta  will  likely  be  the  most  expensive  to  visit  and  network  with  clients.   With  the  farthest  distance  of  our  top  cities  from  New  Orleans,  the  cost  of  travel  for  Atlanta  is   as  follows:   • By  plane:  $128  (Trivago)   • By  car:  $57.50  (Fuel  Economy)   • Hotel:  $200  per  night  (Trivago)   Regardless  of  expense,  Grey  Matter  Consulting  finds   Atlanta  to  be  a  highly  attractive  market,  which  makes   the  cost  of  doing  business  there  worthwhile.      
  • 19.   19   ATLANTA  CONTINUED…   Overall,  Atlanta  is  an  attractive  city   for  BDH  to  expand  into  because  it   holds  the  second  largest  population   and  the  highest  average  income.   Additionally,  Atlanta  has  the  second   highest  percent  of  population  with   health  insurance,  adding  to  the   city’s  attraction.  In  terms  of  the   market,  Atlanta  represents  a  large   market  and  an  opportunity  to  grow   and  create  relationships  with   various  hospitals  and  doctors.   Finally,  Atlanta  is  the  most   expensive  city  to  visit  since  it  is  the   farthest  distance  from  New   Orleans.  Nevertheless,  Grey  Matter   Consulting  considers  Atlanta  an   attractive  market  because  of  the   many  positive  expansion   opportunities  it  has  to  offer  to  BDH.   Conclusion   Retrieved  from  Emory  University  Hospital    
  • 20.   20   BIRMINGHAM     Based  on  the  research  of  Grey  Matter  Consulting  it  is  easy  to  say  that  Birmingham  is  the   third  and  least  attractive  city  of  those  analyzed  for  Better  Day  Health’s  expansion.   Birmingham  consistently  scored  lower  than  both  Atlanta  and  Houston  in  the  decision   matrix  and  proves  to  be  a  smaller  city  with  less  opportunity  of  success.  Nevertheless,  as   explained  later  in  detail,  Birmingham  has  attractive  factors  that  are  beneficial  if  the   company  wants  to  initiate  their  expansion  with  a  small  market.   Birmingham  has  the  lowest  population  of  the  top  three  cities,  which  are  listed  below:   Demographics   However,  Birmingham's  small  population  is  not  the  most  desirable  market  for  Better   Day  Health  compared  to  Atlanta  and  the  over  two  million  population  of  Houston.   Furthermore,  the  median  household  income  for  Birmingham  is  slightly  over  $31,000  per   year,  the  lowest  of  the  three  cities  (US  Census  Bureau).  Nonetheless,  82.6%  of  the  total   population  has  insurance  coverage  putting  Birmingham  in  first  place  in  this  regard,   compared  to  Houston  with  73.94%  and  Atlanta  with  86.74%  of  their  total  populations   (Appendix  1)  (US  Census  Bureau).  In  general,  compared  to  the  other  two  cities  in  terms   of  demographics,  the  above  information  could  be  positive  for  Better  Day  Health  if  it   wants  a  small  market  to  begin  its  expansion.     • Birmingham  Population    à  212,193   • Atlanta  Population  à    420,256   • Houston  Population    à  2,096,661  (US  Census  Bureau)     • Birmingham  Population  65+    à  12.4  %  or  26,301  individuals   • Atlanta  Population  65+    à  10.44%  or  43,874  individuals   • Houston  Population  65+    à  9.43%  or  197,715  individuals  (US  Census  Bureau)   Given  that  Birmingham  holds  highest  percentage  of  individuals  65  years  and  older,  its  market   gains  more  of  an  appeal  to  Better  Day  Health  than  originally  thought.  
  • 21.   21   BIRMINGHAM  CONTINUED…   When  compared  to  Atlanta  and  Houston,  Birmingham  has  the  least  number  of  orthopedic   clinics  and  number  of  physicians.  Birmingham  does,  however,  have  one  more  hospital  than   Atlanta  and  also  has  a  university  hospital,  University  of  Alabama  Birmingham  Medicine.   Birmingham  has  the  smallest  population  out  of  the  top  three  cities  chosen.  Per  capita,   Birmingham  has  the  highest  healthcare  expenditure  but  still  has  the  lowest  total  healthcare   expenditure  when  compared  to  Atlanta  and  Houston.  In  conclusion,  when  taking  this   information  into  account,  Better  Day  Health  may  consider  Birmingham  as  a  smaller  test   market  in  order  to  further  grow  its  brand,  but  not  one  where  it  can  capitalize  and  rapidly  grow   its  customer  base  compared  to  what  Atlanta  and  Houston  offer.   Travel   The  cost  to  travel  to  Birmingham  from  New  Orleans  is  roughly  $40.20  in  a  car,  which  is  the   cheapest  driving  cost  of  the  three  cities  (Fuel  Economy).     Birmingham  also  has  the  cheapest  hotel  rates  which  makes  spending  the  night  more   desirable  after  a  drive  over.  The  only  downfall  to  traveling  to  Birmingham  is  if  choosing  to   fly,  Better  Day  Health  will  incur  the  highest  air  travel  rates  out  of  all  of  the  top  three  cities.  In   terms  of  traveling  distance,  lodging,  and  cost  of  driving,  Birmingham  is  the  most  desirable   market  for  Better  Day  Health,  in  comparison  with  Houston  and  Atlanta.     CITY     HOUSTON                       BIRMINGHAM                                 ATLANTA   COST  OF  TRAVEL  (Driving)       $41.23                                                                                     $40.20                                                                                     $57.50   Market    
  • 22.   22   BIRMINGHAM  CONTINUED…   In  general,  Birmingham  is   an  attractive  city  for  Better   Day  Health  if  they  want  a   small  market  to  begin   expanding  to.  In  terms  of   demographics,  Birmingham   is  the  city  with  the  smallest   population.  But,  as   mentioned  before,  the  percentage  of  the  population  19  years  or  older  and  the  percentage  of   the  population  with  insurance  coverage  are  both  positive  aspects  for  the  company.  Finally,  in   terms  of  distance  and  cost  of  travel  from  New  Orleans,  Birmingham  is  attractive  because  it  is   the  cheapest  city  to  travel  to.  Nevertheless,  among  the  top  three  cities  it  is  the  least   attractive  primarily  due  to  the  fact  that  it  is  a  small  city  compared  to  Houston  and  Atlanta.   The  population  is  the  smallest  one  and  therefore  the  number  of  people  19  years  or  older,  the   number  of  orthopedic  clinics,  and  the  number  of  physicians  are  all  smaller  than  the  other   cities.     Conclusion   Retrieved  from    UAB  Hospital    
  • 23.   23   BATON  ROUGE     Demographics   Baton  Rouge  hosts  a  large  population  that  is  well  distributed  amongst  demographic   age  groups.  Beyond  this  fact,  the  city  can  claim  the  highest  per  capita  healthcare   expenditure  amongst  our  final  candidates.  These  facts  indicate  a  robust  and   growing  healthcare  market,  upon  which  BDH  should  seek  to  capitalize  in  the   coming  months.   Market   Next,  we  turn  towards  Baton  Rouge’s  healthcare  market  and  the  opportunities  it   represents  for  BDH.  With  six  hospitals  and  the  region’s  largest  collegiate  healthcare   system,  the  city  makes  up  for  its  shortcomings  in  the  orthopedic  clinic/physician   category  (which  rank  fourth  amongst  our  final  candidates)  (Healthgrades).  Furthering   BDH’s  potential  for  growth,  the  integration  with  LSU  healthcare  represents  an   opportunity  that  Grey  Matter  believes  will  solidify  BDH’s  position  in  the  EHR   marketplace.       Though  not  included  in  our  recommended  final  cities,  Baton  Rouge  was  a  necessary   location  to  analyze  for  BDH’s  expansion.  BDH  has  already  begun  to  expand  into  the   region  by  forming  a  tentative  agreement  for  integration  with  LSU  health  systems.  As   such,  Grey  Matter  wanted  to  confirm  the  efficacy  of  this  strategy,  as  well  as   demonstrate  that  our  matrix  correctly  predicts  attractive  markets  for  BDH.  When   analyzed  against  the  other  cities  in  our  final  matrix,  Baton  Rouge  would  occupy  the   third  position  in  our  recommendation  list,  due  to  strong  showings  in  demographic   distribution  and  healthcare  expenditures  by  the  city.    When  further  compounded  by   the  low  costs  of  travel  and  proximity  to  their  base  of  operations,  our  matrix  indicates   that  Baton  Rouge  is  indeed  a  viable  candidate  for  BDH’s  early  expansion  goals.    
  • 24.   24   BATON  ROUGE  CONTINUED…   With  close  proximity  to  BDH’s  home  office  as  well  as  their  Lake  Charles  clinics,  Baton  Rouge   would  require  the  least  amount  of  resources  to  visit  and  follow-­‐up  with  potential  clients,   costing  about  $10.66  to  drive  there,  and  only  $90  for  a  hotel  stay.  As  a  budding  startup,  this   reduced  cost  per  client  acquisition  is  more  important  now  than  it  will  be  in  the  coming   months.  As  such,  this  city  is  an  excellent  location  for  BDH’s  initial  expansion  and  Grey  Matter   wholeheartedly  supports  this  strategic  initiative.     MARKETING  BUDGET       Grey  Matter  Consulting  analyzed  the  advertising  and  marketing  budgets  of  three  of  Better   Day  Health’s  competitors:  Greenway  Medical  Technologies  Inc.,  Athena  Health,  and  Henry   Schein  Inc.  These  three  companies  were  the  only  organizations  in  the  industry  to  publish   their  marketing  budgets  as  anything  other  than  general  expenses.  Grey  Matter  realizes  that   these  companies  are  much  larger  than  BDH,  however  these  companies  are  similar  enough  to   warrant  comparison.     Greenway  Medical,  Athena,  and  Henry  Schein  spend,  on  average,  1.5%  of  revenues  on   marketing.  (Athena,  2014)  (Greenway,  2013)  (Henry  Schein,  2014)  We  feel  this  is  an   appropriate  level  of  spending  for  BDH  as  well.  Taking  into  account  that  BDH  is  a  startup  with   limited  cash  flows,  we  believe  1.5%  is  a  reachable  and  appropriate  level  of  marketing   spending.  We  arrived  at  this  number  by  averaging  the  three  above  companies’  percentage  of   revenues  spent  on  marketing  from  2012  to  2014.  The  previously  mentioned  companies   spend  roughly  between  0.12%  and  3%  of  revenues  on  marketing,  so  in  the  long  term,  BDH   can  adjust  its  spending  depending  on  their  performance.  Below  is  a  table  presenting  our   suggestion  based  upon  BDH’s  projected  revenues.    
  • 25.   25   MARKETING  BUDGET  CONTINUED…     Better  Day  Health,  Inc.     2017   2016   2015   Revenue   $37,637,875.00   $11,553,508.00   $1,553,508.00   Adv.  Expense   $564,568.13   $173,302.62   $23,302.62   Ad  expense  as  a  %  of  rev.   1.50%   1.50%   1.50%     The  most  attractive  market  for  expansion  is  Houston,  TX.  Houston  ranked  highest  in  our   decision  matrix  followed  by  Atlanta,  GA  and  Birmingham,  AL.  Houston  showed  the  highest   potential  in  areas  including  number  of  orthopedic  physicians  and  number  of  university   hospitals.  Houston  ranked  first  over  all  in  our  decision  matrix  and  carried  an  overall  score   of  90.88%  out  of  100%.  The  second  closest  city  was  Atlanta.  However,  the  decision  matrix   clearly  shows  that  Atlanta  consistently  scored  lower  than  Houston  overall.       MARKETING  BUDGET  RECOMMENDATIONS   Grey  Matter  recommends  that  BDH  expand  to  Houston,  TX.  Houston  shows  the  most   potential  as  an  expansion  location  because  it  has  positive  synergy  with  BDH’s  current   resources  and  has  the  potential  for  continual  growth.  To  successfully  penetrate  the   Houston  market,  we  recommend  that  BDH  employ  a  marketing  plan  to  increase  brand   awareness.  To  support  this  marketing  plan  BDH  should  delegate  a  healthy  budget  towards   marketing.  Based  on  industry  norms  as  well  as  data  from  similar  companies,  Grey  Matter   suggests  allocating  a  marketing  budget  of  roughly  $23,000  in  2015,  which  is  1.5%  of   revenues  projected  as  shown  above,  across  the  three  most  attractive  cities,  allocated  as   follows:     •  Houston  (45%  of  budget):  $10,500                                                                                                                                   •  Atlanta  (30%  of  budget):  $7,000                                                                                                                                             •  Birmingham  (25%  of  budget):  $6,000   CONCLUSIONS  AND  FINAL  RECOMMENDATIONS  
  • 26.   26         City   Median   Household   Income   Insurance   Coverage   Health  Care   Expenditur e  (per   insured   capita)   Total  Health   Care   Expenditure   Cost  of   Travel   (Driving)   Cost  of   Travel   (Flying)   Cost  of   Hotel  Stay   Number  of   University   Hospitals   Houston    $45,010     73.94%    $5,924      $9,184,066,060      $41.23      $109.00      $169.00      3.00     Birmingham    $31,335     82.57%    $6,272      $1,098,885,760      $40.20      $461.00      $120.00      1.00     Baton  Rouge    $38,593     82.99%    $6,795      $1,293,924,285      $10.66      $-­‐          $90.00      1.00     Atlanta    $46,631     86.74%    $5,467      $1,992,951,114      $57.50      $128.00      $200.00      2.00     APPENDIX     APPENDIX  1     APPENDIX  2   City   Total  Population   %  Of  Population  with  Insurance  Coverage   Houston   2,195,914   70.60%   Birmingham   212,113   82.60%   Atlanta   447,841   81.40%     City   Number   of   Hospitals   Number  of   Orthopedic   Clinics     Population   Number   of   Physicians   Population           6-­‐18yrs   Population   19-­‐64yrs   Population   65yrs+   Houston    24      72      251     2,096,661   8.48%   27.13%   59.70%   9.43%   Birmingham    6      35      156     212,193   6.90%   21.49%   59.18%   12.40%   Baton  Rouge    6      14      61     229,447   6.50%   22.40%   59.90%   11.20%   Atlanta    5      62      196     420,256   6.82%   20.67%   68.63%   10.44%    
  • 27.   27   FINAL MARKET ASSESMENT Market Factors Factor Weight Houston Birmingham Baton Rouge Atlanta Internal % Overall % Rank Score Rank Score Rank Score Rank Score Demographics 100.00% 15.00% 2 10.00 4 5.88 3 9.00 1 12.63 Population 33.33% 5.00% 1 100 4 25 3 50 2 75 Population 0-5yrs 3.33% 0.50% 1 100 2 75 4 25 3 50 Population 6-18yrs 3.33% 0.50% 1 100 3 50 2 75 4 25 Population 19-64yrs 6.67% 1.00% 3 50 4 25 2 75 1 100 Population 65yrs+ 6.67% 1.00% 4 25 1 100 2 75 3 50 Median Household Income 20.00% 3.00% 2 75 4 25 3 50 1 100 Insurance Coverage 26.67% 4.00% 4 25 3 50 2 75 1 100 Market 100.00% 75.00% 1 75.00 3 37.38 4 32.88 2 50.25 Number of Hospitals 16.00% 12.00% 1 100 2 75 2 75 4 25 Number of University Hospitals 26.67% 20.00% 1 100 3 50 3 50 2 75 Number of Orthopedic Clinics 24.00% 18.00% 1 100 3 50 4 25 2 75 Number of Physicians 16.67% 12.50% 1 100 3 50 4 25 2 75 Total Health Expenditure 16.67% 12.50% 1 100 4 25 3 50 2 75 Cost of Travel 100.00% 10.00% 2 5.88 3 5.75 1 10.00 4 3.38 Cost of Travel (Driving) 35.00% 3.50% 3 50 2 75 1 100 4 25 Cost of Travel (Flying) 35.00% 3.50% 2 75 4 25 1 100 3 50 Cost of Hotel Stay 30.00% 3.00% 3 50 2 75 1 100 4 25 Total 100.00% 100.00% 90.88 49.00 51.88 66.25 Overall Ranking 1 4 3 2 Appendix  Continued…   Final Score Summary Factor Houston Birmingham Baton Rouge Atlanta Demographics 10.00 5.88 9.00 12.63 Market 75.00 37.38 32.88 50.25 Cost of Travel 5.88 5.75 10.00 3.38
  • 28.   28   LEGEND Changeable Input Changeable Overall Weight Factors 5.00% Results* Main Ranking Point 1 Total Score 100.00 City Score 100 Red Corner - Comment 100 (Hover over cell to read comment) *NOTE: Result cells should remain unchanged. ( To view the raw data for each variable, click on the "Data" tab. For more information about sources and assumptions, refer to "Sources" tab.) Point Scale Place Score 1 100 2 75 3 50 4 25
  • 29.   29   PROJECT  CHARTER   APPENDIX  CONTINUED…   Team Members Team Member Role(s) Contact Information 1. Nathan Benjamin Project Manager nbenjam@tulane.edu (703) 855-3941 2. Hailey Breisacher Management and Leadership Specialist hbreisac@tulane.edu (601) 463-2063 3. Emma Christon Branding and Social Media Specialist echrist1@tulane.edu (650) 766-0839 4. Lena Franklin Presentation Design Specialist lfrankl@tulane.edu (561) 504-4664 5. Samuel Gautreau Team Management and Marketing Psychology Specialist samuelgautreau@gmail.com (956) 434-1501 6. David Kahn Communication Liaison dkahn1@tulane.edu (407) 970-3486 7. Morgan Lopez Graphic Design Specialist Morgan.Lopez13@ymail.com (713) 882-5531 8. María Camila Prieto Nassar Marketing Specialist MariaCamilaPrietoNassar@gmail.com (504) 881-5320 9. James Ray Business Modeling and Legal Specialist jray2@tulane.edu (504) 452-9662 10. Maria Camila Rico Financial Analyst mricopri@tulane.edu (786) 731-5959 11. Carlos F. Salazar Financial Analyst csalaza@tulane.edu (504) 462-4672 12. Maria Thomas Financial Analyst m.thomas10@unaindes.edu.co (504) 909-4778  
  • 30.   30   PROJECT  CHARTER  CONTINUED…   APPENDIX  CONTINUED…   Client Business Description Better Day Health is a medical technology company that focuses on the electronic data entry and transcription of patient health records. The company integrates innovations in the technology and healthcare industries and brings its products into healthcare facilities and providers around Louisiana, Virginia, and New York. The company’s goal is to install equipment that saves doctors and healthcare facilities time and money, as well as improves the quality and efficiency of the doctors’ work. Most importantly, these new inventions can help to save lives every day. This innovation is accomplished through Better Day Health’s proprietary application and software. By utilizing the latest radio frequency identification (RFID), speech-to- text, and medical transcription technologies, the company has created a system that reduces the time doctors spend entering data. In doing so, the company provides a product that not only improves the doctor-patient dynamic and quality of care, but also frees up doctors “from being the most expensive data clerks on the market.” This company is driving a completed trial version of its technologies through two separate clinics in the Lake Charles area. The company is projecting widespread adoption in the small clinic market segment due its ease of use and its ability to seamlessly integrate with existing technologies in hospitals and doctors’ offices. Client Organization Mission Better Day Health’s purpose is “to create innovations that drive dramatic improvements in the way medicine is practiced that lower costs, save lives, extend resources and facilitate closer patient-provider relationships,” (www.betterdayhealth.com/about-us/). This company aims to improve the doctor-patient care relationship with efficient, engaging, and cost-saving measures implemented through mobile and web-based innovations in the healthcare industry. Client Goal for Project • The goal of this project will be to create a formula for analyzing and comparing target cities for Better Day Health’s expansion. • We will create a diagnostic model through Excel, which will analyze key features of each city i.e. number of clinics, population, average age, other demographic factors, etc., to create a short list of three to five markets we find most attractive. • Learn about the educational medical communities and the potential to integrate Better Day Health into these systems (i.e. LSU, Tulane etc.) • Create a timeline that demonstrates where and when Better Day Health should leverage its resources across multiple southern cities.  
  • 31.   31   Key Stakeholders Name / Group / Role(s) Primary Concerns Dr. Keith Desonier, Dr. John Noble, and doctors in general who offer the patients a health related service by taking care of them and ensuring their safety. Use their time efficiently to provide superior customer service. Make accurate diagnosis (which will be easier with EHS since the doctor has access to the complete clinical history of the patient). ENT Associates, Center for Orthopedics, and customers: health care providers. Maximize the company’s workforce labor time, increase their doctors’ satisfaction (which will lead to a lower turnover rate), and reduce costs. Andre duPlessis, MHA, COO of Presbyterian, St. Luke's Hospital, and investors: provide financial support for the development of the project. Gain long-term profit from their shares on the project. Patients Receive satisfactory service, accurate diagnoses and treatments. Peter Ragusa, Rand Ragusa, Roman Khmaladze, Don Lazzari, Jeff Miller, Howard Luks/ Better Day’s Management Provide a high quality product to clients, manage the risks the firm faces, and create strategies to obtain earnings. Nuance Healthcare, Isabel Healthcare, Motorola Solutions, Qualcomm Life/ Partners: strategic allies that help promote products to enter the market. Create a quality product that provides return on investments and awareness for partner products/services. Nuance, M*Modal, Care Cloud, Practice Fusion & drchrono.com/ Competitors: Documentation vendors. Provide customers with an easy access to information. Government: ensure the welfare of the citizens. Regulate companies’ actions in order to guarantee they are safe for citizens.   PROJECT  CHARTER  CONTINUED…   APPENDIX  CONTINUED…  
  • 32.   32   Project Details Project Description and Definition: We will provide Better Day Health with three top cities to target for expansion in the next year and a half. First, we will narrow a list of 12 potential targets to three using broad criteria such as population, demographic breakdown, and distance from New Orleans. With three cities chosen, we will rank these cities by attractiveness to Better Day Health using more criteria. Additionally, we will analyze similar start-up companies within the target region to provide an estimated budget for Better Day Health’s marketing. The ultimate goal will be to recommend a certain level of spending for each of the three top cities. Deliverable Description In creating this to-market plan for Better Day Health, we plan to deliver: • A narrowed-down list of the top 12 cities into the three most practical expansion opportunities through analysis of demographics including age, Healthcare coverage, and other factors. • Provide a succinct analysis of healthcare providers and demographic trends within the top three cities focusing on Orthopedic and University Health systems. • Generate an 18 month marketing budget in line with current financial projections and growth, based on the use of a media and grassroots marketing campaign. • Divide budget for top three cities based on recommendations from various models. Excluded Work • We will not engage in lead generation or venture capital assistance directly. • We will not actively solicit advertising agencies for business. • We will not engage in primary research such as survey administration or polling. • We will not complete or launch the actual advertising campaign in this project. Organizational Objectives and Corresponding Project Objectives Organizational Objectives Corresponding Project Objectives Highlight Better Day Health’s unique and valuable services in the modern day health market. Research and highlight trends and advances in medical markets, particularly in areas where Better Day Health will launch within two years (Tulane/LSU Medical community, Dallas, Baton Rouge, etc). Better Day Health wants to expand its reach into new cities Establish which cities are the most attractive to Better Day Health, and will be most accepting to their product. Maximize leads and Better Day Health clientele while minimizing marketing costs. Establish a potential marketing budget given the firm’s current and projected performance, based on similar firms’ marketing budgets. PROJECT  CHARTER  CONTINUED…   APPENDIX  CONTINUED…  
  • 33.   33   Project Requirements Requirements that our project needs to fulfill: • Define important criteria for market analysis • Analyze 12 attractive markets based on defined criteria • Select three best markets to enter • Develop a financial analysis and determine an 18 month resource allocation budget • Allocate 18 month budget between top cities respective to their size Requirements that the client needs to meet: • Attend the final in-class presentation • Provide the group with all the necessary information to develop the project • Attend all scheduled meetings • Communicate regularly Project Constraints and Limitations Our group is composed of students with limited consulting experience who are looking to appropriate business knowledge and skills through the development of this project. We consider the three-month time frame to develop the project as a limitation that may affect the scope of the final project. The access to relevant and specific industry information may also be a limitation. If we do not have access to essential information, the development of the project could be affected. Furthermore, Grey Matter Consulting does not have the capacity to access information that requires capital to acquire. Key Assumptions and Risks: Grey Matter Consulting can help Better Day Health expand into new markets, such as Texas. • New marketing territory can be a risk for Grey Matter Consulting, because we are not familiar with the area and who the exact target market is. • It is unknown if there is any competing technology in the Texas market at this time, which would potentially harm Better Day Health’s launch into the new market. Grey Matter Consulting may not be able to help Better Day Health to expand its market   APPENDIX  CONTINUED…   PROJECT  CHARTER  CONTINUED…  
  • 34.   34   Grey Matter Consulting Signatures   Nathan Benjamin                  David Kahn             James Ray                   Lena Franklin       Samuel Gautreau                      Hailey Breisacher       Morgan Lopez                    Emma Christon       Carlos F. Salazar                    Maria Camila Prieto Nassar       Maria Camila Rico                      Maria Thomas     Approvals Professor Forst _______________________________________________ __________________ Signature                     Date   Better Day Health _______________________________________________ __________________ Signature                   Date   APPENDIX  CONTINUED…   PROJECT  CHARTER  CONTINUED…  
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