The main case describes the design, implementation and operational implementation of a focused clinic in the Middle East. The ICLDC provides team-based care for managing diabetes with clear processes that have benefitted from lean Six Sigma tools. A supplement describes how the ICLDC fits into the broader context of the rapidly changing health system in the United Arab Emirates.

The main case describes the design, implementation and operational implementation of a focused clinic in the Middle East. The ICLDC provides team-based care for managing diabetes with clear processes that have benefitted from lean Six Sigma tools. A supplement describes how the ICLDC fits into the broader context of the rapidly changing health system in the United Arab Emirates.

DeepBreeze illustrates the challenging voyage of many startups in the medical device sector as it navigates clinical trials, regulatory agencies and reimbursement issues in a quest for growth. While it perseveres in assessing the value that patients, providers and purchasers obtain from the product, DeepBreeze is exhausting its funds and still looking for a commercial breakthrough.

The case documents the evolving characteristics of the contact lens market, driven by rapid technological innovation. The introduction of disposable contact lenses has transformed this business from a low-volume high-margin market space to a high-volume low-margin one.