1 Kid Stuff? Determining the Best Positioning Strategy for Akron Children's Hospital As of 2018, Akron Children's Hospital is one of the largest pediatric hospitals in the United States and ranked among the best children's hospitals by U.S. News & World Report. The hospital handles nearly 800,000 patient visits each year. Aaron Powell, Akron Children's Hospital's (akronchildrens.org) marketing director, stood to gaze out the conference room windows onto the two ribbons of train tracks that curled near the hospital on the north side of this midsized city in northeastern Ohio. He was thinking about how rival hospitals, such as Akron City Hospital, Akron General Medical Center, and St. Thomas Hospital, had recently hired marketing directors like himself. The urgency to advance Akron Children's Hospital's marketing effort was going to intensify in the next year. "I'm not sure we are getting anywhere in this meeting," Powell thought to himself as he pushed his chair away from the conference room table and slowly stood up to stretch his legs. Powell's meeting was going into its second hour. In addition to Powell, the meeting's participants were Mark Norton, the hospital operations officer (Powell's boss), and Janet Jones from the Cleveland-based Marcus Thomas communications and research agency (marcusthomasllc.com). One staff member from finance was there, along with the soon to be retiring public relations director for the hospital. In the past, both of these staffers would support whatever Norton proposed or liked. It now looked like Powell and Jones were on the other side of a divide about how to approach positioning Akron Children's Hospital in next year's advertising campaign. To make matters worse, Powell and Jones appeared to be outnumbered, and the tension in the room was palpable. "Let me read the research problem statement all of us revised in the first hour of our meeting," Jones said. "Akron Children's Hospital board wants the hospital to become the preferred hospital in the high-growth areas of the region. Accordingly, we are studying positioning possibilities, so that the board can select the best positioning for next year's communications campaign intended to boost the number of patient cases 10 percent in the following year." "That's it. That's what we want," Norton said. "But I don't think we have to pursue a research project with a survey that just may lead us to reinvent the wheeland for $60,000, too." "What wheel is that?" Powell asked, turning away from the window to face Norton. "Aaron, you know as well as I do that this hospital is all about children. It's even in our name, Norton said. "Emphasize the kids. Whatever we do in the media should feature the kids. Just do some focus groups that will allow Marcus Thomas to get some ideas for advertising about kids and our hospital. That should only cost about $20,000. But honestly, I am not sure we even need that." 2 "Mark, remember that McDonald's tends to emphasize kids, too, but adults are featured in their advertising most of the time," Powell said. "Marcus Thomas needs to cover the entire range of issues families consider when choosing a hospital for their kid. If we miss something important, one of the other hospitals in Akron might claim it is the better hospital when it comes to this." "Aaron is making a good point," Jones said. "Right now, we don't know which positioning would help Akron Children's Hospital the most." "So describe which paths we can pursue now," Norton said. "Plan Ado focus groups only, as you suggested," Jones said. "Plan Bdo focus groups with a follow-on survey. Plan Cdo survey with follow-on focus groups. And plan Ddo no research." "Tell me more about each of these," Norton said. "In plan A, Marcus Thomas would conduct four focus groups, with an average of 10 respondents per group," Jones said. "We'll ask participants to discuss their experiences while at a hospital. Participants will be required to be the primary decision makers for health-care decisions within the family and have a childnewborns to 18-year-oldswith an acute condition and who have spent at least three consecutive days in a hospital. Because most health-care decision makers within a family tend to be women, most of the participants will be female between 25 and 54 years old with one or more children ranging from new-borns to 18 years old." "Cost?" Norton asked. "About $20,000," Powell said. Jones continued. "In plan B, we'll do plan A, plus a field survey to follow up on the issues we identify in the focus groups. First, we'll ask about unaided and aided awareness of hospitals in the region. Then, based on what we learn in the focus groups, we will identify the concepts of three positioning strategies and ask survey respondents which one they prefer most and which one they prefer next most. We'll be able to statistically determine the degree of preference among the positioning alternatives." "The three strategies might be, one, Akron Children's Hospital has doctors who listen to you," Powell said. "Or, two, we know how to meet the unique needs of children, or, three, we use the latest advances in treating children." "Cost?" Norton asked again. "About $60,000," Powell said." "What about plan C? Why does that make sense?" Norton asked. "We can identify the best positioning strategy by con-ducting a survey. The salient aspects of this positioning strategy to the consumers can then be explored via focus groups. The cost will be the same as plan B; that is, $60,000," responded Jones. "And plan Dno research. Turn our creative staff loose and hang on for the ride," Jones said with a wry smile. Norton returned the smile and looked around the room. "Doesn't your firm do the advertising for the Ohio Lottery?" Norton asked. "With plan D, we might do better by playing the Ohio Lottery!" 3 Sensing the humor, everyone in the room laughed together. Finally, tension seemed to begin dissipating. Norton nodded slowly. Powell nodded, too. However, the questions Powell was thinking about still remained. Which of the plans would Akron Children's Hospital pursueplan A, plan B, plan C, or plan D? If money were invested, would it be a worthwhile investment? Would the idea of research being a "cost" (with no apparent return) persist in the minds of Norton and the other staff members long after this meeting? What could be done now to help Norton and the other executives view research as an investment (with an implied return)?

Questions 1) What is the role of marketing research in determining the best positioning strategy for Akron Children's Hospital?

2) Define the management decision problem(s) confronting Akron Children's Hospital and a corresponding marketing research problem(s).

3) Develop the Approach (Theoretical Framework, Research Questions, and Hypotheses) that is corresponding to the identified marketing research problem(s).