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Renewing an institution with its originWhen to change a master brandInspiring confidence in a crisisdistinguishing a commodity consumer product

Discoveries, not campaigns

   

These examples are not campaigns or projects. They are discoveries — made in moments when finding the conceptual core of an organization helped its leaders renew what made them special and gave them the edge they needed to thrive in the face of adversity. 


Together, they show how clarity enables conviction — and how organizations become unstoppable when they are grounded in essential truth.

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Medicine Of The Highest Order

How rediscovering the origin of a venerable institution made it new again.

The moment


The decision to rebrand from Strong Health to the University of Rochester Medical Center had already been made by our CEO. 


The institution was facing new, significant competition from the rival community health system, and it was clear the existing brand was too closely tied to our flagship hospital, Strong Memorial, to convey what truly distinguished our system—that we were an academic medical center with more than 1,200 physicians and 5,000 nurses many of whom also conducted world-respected research and taught the next generation at two nationally ranked schools—the School of Medicine and Dentistry and School of Nursing. No other organization in upstate New York had anything remotely similar. 


The focus of the rebrand was already executional — a new name, a new logo, a new set of identity guidelines. 


I knew we would need all of that, but I believed lasting success required something more: a narrative that could clarify the meaning of the change, inspire the people inside the institution, and help the community understand the authentic and distinctive reality of why our academic center was (and is) different and special. 


Without that, the rebrand risked being superficial — a name change for the sake of change. And the opportunity to change how the people in our region think about how lucky they are to have an institution like ours in their backyard would have been missed.


The immersion


I immersed myself in the institution's history, culture, and leadership — conducting interviews with more than two dozen administrative, clinical, research, and education leaders. I studied founding documents, institutional archives, and the stories the organization told about itself, looking for the ideas that had shaped it from the beginning.


The discovery


In a 1920 Rochester Times-Union article, University President Rush Rhees was quoted describing Rochester as a place to found "a medical school of the highest order."


I recognized that phrase as the conceptual seed — not a tagline to be invented, but a truth to be recovered. 


The truth is that Rhees and others set out to create an institution that was “The best of its kind in the world.” They committed to finding clinicians who were also renowned researchers as well as accomplished teachers to work together in the same place. 


That was as true as this rebrand was progressing as it had been in 1920. 


The concept described everything the medical center leaders already believed about themselves: the commitment to deliver the best medical science can offer, and the understanding that "highest" is an ever-advancing standard. At the same time, it captured what patients and their families wanted as deeply as the people of the medical center were devoted to delivering it.


I adapted the phrase into Medicine of the Highest Order — a conceptual center of gravity that could hold strategy, communication, culture, and aspiration together across a complex, decentralized institution.


Why it held


The phrase was adopted verbatim as the brand platform, and it still resonates today — not because it was clever, but because it described who the institution already believed itself to be and the obligation it felt to continually rise to its own lofty standard.


It endured because it wasn’t invented. It was rediscovered. 


And then it was revealed with executional excellence that was unforgettable. 

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If you are interested in working with me on a project, please send me a message using the contact form below. I look forward to hearing from you!

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UR Medicine

Evolving a brand when the strategic ground shifts beneath it.

   

The moment


When the Affordable Care Act became law in 2010, it set into motion changes that threatened the operating models of every health system in the country. 


The likely shift from fee-for-service to value-based care meant that institutions built to run on one economic model had to rapidly adapt to others, all of which were designed to lower costs while increasing the quality of care. That meant creating efficiencies or suffer pressure on margins that were already slim.


Initial projections at the University of Rochester Medical Center were dire — some showed the system moving from profitable to suffering losses within a few years. The threat wasn't limited to the medical center. As one large not-for-profit, the university itself was vulnerable. The threat was existential.


Under that pressure, our CEO distilled the path forward into a single, powerful statement that I believed had profound implications for how we presented ourselves to the market:


"We need to be known as a system, not a place."


But our brand — University of Rochester Medical Center — suggested a place. Quick market research confirmed it: patients and consumers in our region did indeed think of us as a place, and the brand was synonymous with our flagship hospital, Strong Memorial. Our brand system and strategy had fallen out of sync with where the organization needed to go. 


Despite rebranding from Strong Health only four years prior, we needed to shift again.


The idea


The question was how to do it without undoing the progress we had made — and without inviting criticism for the cost of another rebrand when the prevailing institutional priority was cost efficiency.


I knew several things had to be true. 


Medicine of the Highest Order needed to stay — it captured the essence and purpose of the medical center, and it was the healthcare mission's interpretation of the university's founding promise, Meliora: "Ever Better." 


The health system needed to be immediately and intuitively understood as part of the University of Rochester; creating a separate brand would be a step backward. 


And we needed something familiar, easy to say and remember, that instantly and intuitively linked our providers and facilities together as a system.


"UR" was already the shorthand — how the university was referred to in the press. "U of R" was the spoken vernacular of the region. And while local healthcare systems all used "health" as their category descriptor, a handful of the nation's most prestigious medical centers had built system brands using "medicine" — Penn Medicine, Stanford Medicine, Hopkins Medicine. That was the company we wanted to keep, and our system had been started with the founding of a medical school.


So, I proposed UR Medicine.


I took it to the CEO with my boss, the COO. They loved it. They immediately saw that it was necessary given the strategic shift, and they appreciated that it clearly connected to the university while creating a brand we could own and build in our own right.


The internal campaign


Even though he thought it was right, the CEO decided he had too many other operational priorities that required his focus and political capital. He asked me to lead the process of communicating and selling this idea into our organization and the larger university leadership.


That process took over a year.


I made formal presentations to the core leadership team and the larger group of leaders and managers. I met privately with each senior leader. I had hallway conversations. I talked it up to colleagues in PR, Advancement, Web Services, and Patient Experience. I met with the deans of both the medical school and the nursing school.


The flaw


The biggest criticism came from the School of Nursing.


The view of the Dean, shared by her leadership team and several important alumni and donors, was that nursing is a separate academic discipline from medicine. At its core, nursing focuses on the patient — the perspective of maintaining or improving wellness, comfort, and overall well-being. Medicine is focused on the problem — the perspective of diagnosing and treating illness and injury. 


UR Medicine, in their view, excluded nursing and was unacceptable — especially if the intent was to use the new brand to represent the schools and the medical center's academic mission. There was no way the CEO was going to move forward if we couldn't find an answer.


The solution came from structure, not persuasion — a "nested" brand architecture:


The academic units — the School of Nursing and the School of Medicine and Dentistry — would be identified as assets of the University of Rochester, since the university was understood as the academic center of gravity. The clinical mission — all hospitals, institutes, facilities, and the people who work where patients are seen and treated — would carry the UR Medicine brand. 


Fortunately, the clinical practice nurses working in hospitals, clinics, and offices perceived "medicine" differently as a term that included then along with technicians, therapists — everyone involved in a patient's care. 


Nesting UR Medicine as the clinical brand within the greater university brand and clearly positioning the schools as university academic units removed the opposition and not only saved the idea — it made it stronger.


The proof


Two moments told me we were on to something powerful.


The first was sitting behind the glass during focus groups. We showed people from the community the new logo and the visual "lockups" that paired UR Medicine with the university shield and the familiar names of our hospitals and institutes: Strong Memorial Hospital, Highland Hospital, Golisano Children's Hospital, Wilmot Cancer Institute, Thompson Health.


When they saw the lockups together, the reaction was immediate:


"Oh, they're all related." "They're part of the same family."


All that work — and they got it. It was simple, obvious, intuitive. Exactly what we needed to be seen as a system.


The second came when we turned to developing the launch messaging. 


I noticed that "UR" sounded like "You Are" — the second person form of the verb "to be." I shared that with my creative director, who was also a brilliant copywriter, and he saw immediately that leading with that could create statements of affirmation that would resonate emotionally and create an instant mnemonic.


I gave the team the strategy, my thoughts on direction, and a deadline — and got out of the way. What they created was astonishing. 


The launch platform was a :60 TV spot — beautiful with no spoken words. The creative director stripped almost all copy out except statements that started with "You Are," appearing on black screens to create context for the scenes of real patients that followed each:


YOU ARE praying your wife is ok. YOU ARE overcoming injuries. YOU ARE barely holding on...


Then the spot turns away from pain, fear, and despair — and we see the same people in a montage of recovery, joy, and hope. The spot ends with this thought:


YOU ARE the reason for all we do.


Before going to air, we previewed the spot in an open meeting for the entire medical center. I talked about the rationale, but I knew enough to stop talking and let the work play.


When the last line came up and the spot ended, the audience stood. Some were in tears. Moving people who are stopping by in the middle of their workday to tears in less than a minute is a signal of something special. 


Why it held


The spot launched during the local broadcast of the Super Bowl in 2014 and was immediately embraced — internally and externally. We used and adapted the "You Are" platform for more than five years. We focused on real patients, providers, and staff, letting them speak for themselves while framing their stories with affirming "You Are" statements.


We converted every visible asset of the clinical brand to UR Medicine — the website, uniforms, and critically, the physical signage on every facility where patients go. When we did, it didn't just make the brand ubiquitous. It reinforced the idea of relatedness, of systemness, that was called for in the CEO's original strategic insight.


In 2023, UR Medicine debuted in a ranking of "most humanized" health system brands at #5 in the nation.


More than a decade later, UR Medicine is pcontinues to be the leading healthcare brand in the region.


It endured because it wasn't just a new logo. It was a structural decision — one that aligned identity with strategy, resolved the deepest internal objection through architecture rather than argument, and then brought to life with an affirming message that reminded the people of an entire institution of their purpose while renewing their enduring promise to care for the people of our region at the very same time. 

Contact me

If you are interested in working with me on a project, please send me a message using the contact form below. I look forward to hearing from you!

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UR Medicine Redesigned

When a brand built on truth meets its ultimate test.

   

The crisis


In mid-March of 2020, I found myself at home on the first of what would be hundreds of Zoom calls from my finished basement. By myself. The day before, I had been in my office working with my team when we learned that someone literally in the next office down the hall had come down with COVID.


The time had come. It was among us. I sent my team home and told them we would meet on Zoom the following day.


We had all seen what could happen. The news every night showed New York City emergency rooms jam packed and refrigerated trucks on the streets turned into makeshift morgues. We thought we were next — and so did the Governor and URMC leadership.


Overnight, the operations of the medical center fundamentally changed. On direction from the Department of Health, we halted elective and non-life-sustaining clinical care. No doctor's visits. No procedures. We continued to care for inpatients and patients in the ICU and those that came to the ER, but other than that — full stop. We told patients to stay home.


In that basement that first day, I didn't want my team to see it, but I was scared. Of course I feared for my family. But I feared for my team too, and if I'm being honest, for my job. What purpose did healthcare marketing and branding serve in a pandemic?


Then it got worse.


By the end of March, the stoppage meant the lapse in treatment for our non-emergent patients would have growing negative health impacts the longer it continued — and we were facing a budgeted revenue shortfall on the order of $300 million per month. I had to furlough everyone in my department for four weeks. Unless we found a way to provide productive support, I believed our role would continue to diminish.


The purpose


By mid-May, some things had changed. The flood of patients we had expected never came. We had cases, but nothing like New York City. The patients who needed primary and outpatient care needed to resume their treatments before manageable issues became acute problems. And we had determined we could reopen clinics and offices provided we found ways to prevent the virus from spreading. The faster we moved, the sooner we could serve our patients and restore the lost revenue that was threatening the ability to maintain the staff needed to fulfill the overall mission of the medical center. 


Our clinical leadership went to work. They created new protocols — how clinics would be cleaned, how waiting rooms would be reconfigured for distancing, how masks and hand sanitizer would be available for everyone. The physician leader put in charge of this effort started talking about how we had "redesigned" our care.


Now we needed to convince the patients we had told to stay away — for fear of infection — to come back. That it was safe. That they could trust us. And we needed it immediately. It became obvious that we needed mass paid communications for reach and frequency across traditional and digital platforms.


Overnight, that became my purpose and the mission of our team.


The work


The problem was, we couldn't produce video the way we had for Medicine of the Highest Order or UR Medicine. With our financial situation, I had a shoestring budget. We couldn't go on-site. We couldn't shoot with a cast or hire a crew. If we wanted to film people, they couldn't be physically close to each other, and they'd have to wear masks — wise and pragmatic, but not exactly the ingredients for compelling video.


So: No money. No time. No cast. No crew. And no writer. My creative director and brilliant copywriter, Jim Lahue, had passed away on New Year’s Eve just before COVID struck.


What we did have was a brand that people could trust to keep them safe —  and help them "to be." We also had a timeless promise to deliver the highest level of care. No matter what.


So that's where we leaned in.


Like all brand insights, the solution hid in plain sight. When things occur that threaten our health, what we all need is Medicine of the Highest Order. To that I added the language our clinical team and senior leaders were already using: 


UR Medicine Redesigned.


I wrote the copy myself and kept it as simple and direct as possible. That's what Jim would have done. The focus was on how we had made changes — frequent cleanings, new waiting room spacing, masks for everyone, and expanded care modalities like telemedicine using the same video technology we were all now living on.


I hired a woman who did voiceovers on the side — someone I knew would be authoritative but comforting. I chose an animator we had used where we needed high quality on a tight timeline and budget. And I had the editor and audio team who were regulars on our crew finish the spots. Everyone worked remotely. We delivered spots for less than 10% of the normal cost. We moved from concept to finished in less than a week for each. 


And the spots themselves were magical. The animation set to music with the voiceover were different than anything in the market, and the friendly but authoritative tone was both compelling and on-brand. 


Fast, good and cost-efficient. In the time before AI, that combination was unprecedented.


Why it held


The campaign ran from May through the fall. Our finance team had projected a return to previous patient visit levels by Halloween. We achieved it by the end of July — months ahead of schedule.


My people came off furlough, permanently. Once we had identified our purpose — conveying what our clinicians had done to make caring for everyone possible again — we had the most prolific two years of my tenure at URMC.


What made it possible was a brand that was never more relevant than when a global pandemic threatened our hometown. 


Because the brand promise was clear and strong, we were able to react in the heartbeat that the situation demanded. If we had needed to start from a blank page, I'm not sure we would have made the impact that we did.


Brand clarity not only creates a lasting competitive advantage. It acts as an accelerator when the organization has to move at the speed of a crisis to maintain its strength and serve the people who count on it. 

Contact me.

If you are interested in working with me on a project, please send me a message using the contact form below. I look forward to hearing from you!

Contact

Upstate Farms - Taste The Freshness

Building a brand in one of the most commoditized categories in the world.

The moment


Upstate Farms is a dairy cooperative in upstate and western New York — more than 250 family farms producing a full range of dairy products including milk, ice cream, butter, yogurt, and cultured products. They supplied much of the milk bought by consumers in the region, but most of it was store-branded. The Upstate Farms name appeared on relatively little of what they actually produced.


The business was facing a very challenging future. Milk consumption had been in decline for twenty years. Margin pressure was relentless — soft demand on one side, supermarket chains like Wegmans demanding their share on the other. Yogurt hadn't yet emerged as a growth category. The cooperative had decided on a strategy to complement its private label business by building its own consumer brand, one that could command better margins in the supermarket and convenience store trade.


That would be an uphill battle. There was nothing to differentiate the milk line — half & half, whole, 2%, 1%, nonfat, chocolate, all in the same sizes and containers as the store brands.


The brief


At our branding and design firm, our assignment was the packaging graphics, but an agency had been hired to develop an advertising campaign to jumpstart the brand-building process. I was keen on seeing their work. We shared the same fundamental problem — how to differentiate the milk — and I wondered how they had approached it.


The agency's creative brief was focused on emphasizing the unique taste of Upstate Farms milk — something like a terroir story, suggesting you could discern the difference of what the cows ate, how they were tended, how the local environment expressed itself in the product. Our client, the marketing leader, was bullish on it. I didn't share his enthusiasm.


All the concepts clearly answered the brief — which is not always the case. But I believed the brief itself was the problem. If we needed to encourage people to switch from a familiar store brand that tasted perfectly fine, we were promising a discernible difference that didn't exist — it was the same liquid. And for occasional or non-milk drinkers, I worried that focusing so intently on taste would remind them of the qualities that put them off milk in the first place.


The concepts reinforced my concern. They were all print — magazine or newspaper spreads. One headline read: "Only upstate cows give upstate taste." Others created visual analogies, with a glass of milk on one page and a large photograph of a regionally iconic food on the facing page — a chicken wing, a garbage plate. For the uninitiated, a garbage plate is two cheeseburger patties smothered in hot sauce sitting on a heap of macaroni salad and home fries. The intent was local pride and taste association. 


But the upshot was a suggestion to drink milk with a garbage plate. 


Not just confusing. Actively unappetizing.


I had worked in agencies. I had been part of creative presentations where work was ostensibly on brief but contained choices that everyone in the room should have known were wrong. I sensed that might be happening here.


But my concern went beyond the creative. I knew our client would be in trouble if he had to spend a lot of time explaining the work and what it means not to mention why it’s right to his leadership after the agency went home. 


The best work needs very little explanation — people either get it or they don't. 


With these concepts, I knew our client was going to have to address why the ad with the garbage plate wasn't actually suggesting you eat it with milk. Someone in his chain of command would be sure to ask. I wanted to spare him that conversation — what comes with it when the future proves the question was on point all along.


But I didn't have a better idea. At least not yet.


The discovery


Then I attended the ribbon-cutting for a new, expanded processing plant. There were speeches from the president of the cooperative — a farmer — and from the CEO and the VP of Sales & Marketing. Each in their own way, they talked about the same thing: how important it is to move the highest quality milk from farm to shelf as fast as possible. That's what the new plant would help them do.


Their unanimous, deeply personal commitment was to deliver milk to customers that is as fresh as humanly possible.


I remember standing in that refrigerated space with my winter coat and gloves on, thinking: "That's it."


Freshness was the core value and needed to be their brand promise. Its center of gravity. And emphasizing freshness could speak to the authentic commitment of the leaders and farmers of the cooperative while implying great taste — without being so literal or risky.


I brought it back to our team. Since we all had advertising experience, we developed a positioning line — Taste the Freshness — and proposed a campaign built around it: a humorous approach using simple line drawings of familiar scenes, like a middle-aged guy driving a car with a cow positioned like a dog with its head out the window. The headline: "Any fresher, and you'd have to bring the cow home."


We convinced our client to test our campaign and line in the market research alongside the agency's concepts.


The result: in quantitative testing, our concept was preferred 2:1 over the next most preferred campaign in one of their target markets, and 3:1 in their home market.


Why it held


In the end, Upstate Farms didn’t move ahead with the consumer advertising because of budget constraints. But Taste the Freshness was adopted and used across packaging, fleet graphics, and point of sale to distinguish the Upstate Farms brand for well over a decade.


The concept held because we found the idea that was as true and central for the people of the cooperative as it was for everyone in the distribution channel — including the consumers. Everyone wants the freshest milk. By stepping up and owning that claim, Upstate Farms gave itself a center of gravity in one of the most commoditized categories in the world.


It was hiding in plain sight. In a refrigerated room, in the middle of winter, in the words of the people who cared about it most.


It was also early in my career — maybe ten years in — and it was the first time I recognized that the core of a brand can hide in plain sight. That became the foundation of everything I've done since.

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