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Scenario Five Planning & Advisory
Strategic Advisory • Scenario Planning

Decisions made in complexity need more than analysis.

Position your teams to thrive with the insight that revitalizes mandates.

Better care delivery through better planning and analysis, where service, finance, and people intersect.

Practice Focus

Better care delivery through better planning and analysis, where service, finance, and people intersect.

Sectors Served

Federal and provincial government agencies, service providers, associations and regulators, manufacturers, and cross-sector teams.

Principal

Matthew Lister

183% Target Delivered

183% of target delivered while expanding clinical service capacity in a provincial health authority review.

ABOUT

Aiming for the most advanced yet achievable

We work with leaders and organizations facing decisions too consequential to defer and too complex to navigate conventionally.

We bring deep system and organizational insight, structured analysis, and hard-won advisory experience to the decisions and priorities that define and distinguish organizations.

Achieve the mandate that defines your organization's full potential. Deliver a legacy.

Services

Counsel Built for High-Stakes Decisions

Episodic and long-range engagements structured to institutional complexity and scale.

Scenario & Futures Planning

Structured planning processes that are inclusive, practical, and genuinely thought-provoking. These data-informed and facilitative engagements bring out the best in an organization's thinking, reinvigorating a leadership momentum and engagement for the future. Planning engagements range from 3-12 months depending on scope, integration with key departments and stakeholders.

Board & Executive Advisory

Episodic and retainer-based counsel for boards and executive leaders navigating strategic, governance, and high-stakes decisions.

Operational and Service Reviews

Comprehensive reviews to assess risk, operational service performance, opportunity, and readiness. Reviews span 2-6 months, depending on scope and organization readiness.

Portfolio

Selected Engagements

Clinical Operations Review

Evaluating a Provincial Health Authority's Clinical Operations

Retained to review the leadership and clinical operations for one of Canada's largest health authorities. Delivered 183% of target while increasing service capacity in three service portfolios.

Engagement Results 183% Target delivered
Engagement Profiles • Continuous Overview
Regulator Organization Review #02

Provincial Health-Technology Assessment Review

Reviewed and advised the organizational functions, structures, and budget of a provincial health technology assessment office. Recommendations approved by the board, Ministry of Health, and implemented by the medical and clinical executive team.

Engagement Profile
Government Negotiation Strategy #03

Developing Negotiating Priorities and Angles for Vital Provincial Health Program

Developed corporate negotiations positions and platform based on environmental, service, and patient-needs analysis, pricing models, and economic trends.

Engagement Profile
Governance & Corporate Board #04

Resetting Governance and Executive Priorities During a Public Crisis

Appointed by Chair and CEO to coordinate complex and urgent legal, communications, logistical, electoral, and governance processes during significant organizational upheaval.

Engagement Profile
Corporate Strategy #05

Corporate Subsidiary Divestiture

Delivered comprehensive divestiture options on behalf of a digital-health subsidiary from its parent company. Prepared portfolio analysis of potential product offerings, equity options, and business models for review by the board and executive.

Engagement Profile
Provincial Agency Review #06

Functional Review of Cancer-Screening Programs

Reviewing core functions and processes of a provincial cancer agency to evaluate its readiness for new screening standards.

Engagement Profile
Regional Partnership Strategy #07

Developing Cross-Sector Strategy for Patient Care and Transitions

Delivered regional partnership strategy between acute, LTC, home care, and community partners to implement care and transition standards for different patient cohorts.

Engagement Profile
International Business Strategy #08

Developing the Canadian Market Strategy for a Leading European Hospital Network

Partnered with 26-hospital European academic health network to develop a Canadian market-entry strategy for diagnostic and surgical services. Developed national polling with Ipsos and media-relations strategy to assess sentiment and raise awareness among the public and governments.

Engagement Profile
Provincial Organizational Review #09

Provincial Organizational Review and Realignment

Delivered a renewed corporate structure, functions, and core processes of a leading provincial organization to improve accountability and transparency to the Board.

Engagement Profile
National Clinical Operations #10

Operations Realignment for Multi-Province National Clinical Operations

Produced three-fold gain in EBITDA by reviewing service model and delivery, renegotiating contracts with multi-national pharmaceutical, insurance, and medical device suppliers. Created new programs with clinical colleagues for wound-care, immunizations, and acute-based services.

Engagement Profile
Commendations

Commendations

Superior strategy-development — he can tease out opportunity, priorities, and scope very effectively in complex and large assignments. Among the strongest strategic thinkers I have ever known. And rarely without a smile.

CHAIR, NATIONAL CANCER ORGANIZATION

The benefit of his work was clear and foundational. He navigates disparate ideas and positions with deep-seated resistance. This earned credibility with the board directors and physician leaders. I write this with the advantage of hindsight, and better appreciate how his ability to implement plans further complements what was already an accomplished service to our organization.

CHAIR, NATIONAL ACADEMIC ORGANIZATION

He shows a very strong aptitude for system, organization, and operations strategy and communicated these effectively. Champions the needs of patients and staff in transformation work that is usually dominated by cost-reduction.

VP QUALITY AND SAFETY, ACADEMIC HEALTHCARE NETWORK

He helped me make the organization and operations more integrated, supportive, and efficient while respecting the valuable role that culture and staff plays in being a high-performing organization.

PAST CEO, PROVINCIAL MEDICAL ASSOCIATION

Board and staff came to rely on Matthew for governance reform, corporate strategy and subsidiary structures, corporate and executive performance evaluations, and running broad consultations. He earned the respect and trust of the Board and Executive Committee and was seen as someone who consistently performed at a superior level.

PAST CHAIR, PROVINCIAL ASSOCIATION

Completely unlike other executives I have known. I was impressed with Matthew’s ability to work with large groups of medical, clinical, and management professionals. His leadership and negotiation skills helped move projects past standoffs. He operates at an unusually capable level.

GLOBAL MEDICAL DEVICE EXECUTIVE

Matthew brings a wide range of cross-functional skills and abilities to the executive tables. These helped us solve a significant and long-standing challenge. It was a pleasure to work with someone as encouraging, perceptive, and committed as Matthew.

CEO, INTEGRATED CARE ORGANIZATION
05 Strategic Perspectives

Health-System Drivers: System Financing

Income-tax generating Canadians per senior: 6.1 in 1984 falling to 2.4 by 2035 — a 60% decline. Healthcare is largely income-tax financed, seniors consume 48% of healthcare spending, and life expectancy rises 9% per year.
Direct Inquiries

Let's Talk

Whether preparing for a governance renewal, strategic review, or navigating institutional complexity, we welcome a confidential discussion.

Practice Location Based in Toronto, Canada.

Let's Talk

Let's Talk