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Strategy Management Office​

Client Health Holding Company
Region Saudi Arabia
Sector Public Sector, Health and Not For Profit

The Challenge

In April 2024, Health Holding Company approved their new 5-year strategy that would enable the transformation of the health system in the Kingdom. HHC is one of three future organisations in the health ecosystem, alongside the Ministry of Health and the Center for National Health Insurance and has a significant mandate and requirement to operationalize 20 Health Clusters, prepare them to become Accountable Care Organizations, and embed critical capabilities such as Revenue Cycle Management and effective Population Health tools.​

HHC required support to ensure effective and efficient execution of the strategy, through centralized oversight and effort to execute the 48 strategic initiatives. They also needed to align to the system masterplan and the key stakeholders across the system. ​

Our Approach

  • Built a Strategy Management Office (SMO), developing the mandate, capabilities, processes, organization structure, and governance to execute the strategy in the short and long-term.​
  • Established a mobilization process to activate 16 initiatives with cross-functional project teams in2024, with a further 11 initiatives activated in Q1 2025. ​
  • Completed organization-wide business planning, as well as a strategy cascading exercise with the20 regional health Clusters to align all provider organizations with the strategic objectives.​
  • Developed a unified KPI framework that brought together and rationalized over 400 system KPIs into a new 150 KPI framework for Clusters. ​
  • Onboarded and trained Saudi employees to operate key roles within the structure, supporting the Kingdom’s commitment to Saudization of the workforce. 

Key Outcomes

  • Established 27 initiative teams, with defined project charters and approved business cases. 5 initiatives have already been completed so far and achieved desired results. ​
  • Developed and launched SMO Operating Model / Playbook with strategic governance that set the blueprint for strategy delivery. ​
  • Replanned a SAR 750m portfolio to align to the new system masterplan, identifying cost efficiencies to reduce overall spend burden.​
  • Developed and launched a system-wide KPI framework that enables more clear and effective reporting. ​
  • Created a pipeline of Saudi talent to support HHC in the long-term, reducing reliance on external vendors for project delivery. ​
Case studies

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Performance Management Framework​

Health clusters reported over 480 KPIs across multiple frameworks, creating duplication, overlap and significant operational burden for teams.
Communications Strategy​

HHC required support to develop and execute a communications strategy to drive both internal and external engagement with the organization’s overarching strategy.
National ACO Model & Implementation​

We partnered with HHC to deliver both the design and implementation of the ACO Manual – combining a rigorous national framework with large-scale capability uplift and readiness.

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Q5 is a trading name of Q5 Ltd, which is registered in Riyadh, Registration No. 7040626454.
The Registered Office is 6321 Olaya Street, Al Sahafah District, Riyadh 13321, KSA.
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