Physical therapy has been around for a long time. Not only does it tackle the physical health of a human, it also takes into account the psychological and social factors that can influence our health. There is evidence that physical therapy can make a change in the healthcare system regarding preventative care. This preventative care however is a new concept for which the healthcare domain is not fully ready. This is however the approach ELEVEN has currently, redefining what health is and should be in the future. This way of thinking has led to the birth of ELEVEN, a company that houses physical therapists that are there to guide you in any way you want to improve, and this is possible because of the organisational culture that is present.

This project aims to identify, enhance and transfer the organisational culture that is present at ELEVEN, including the different components that influence and shape it. This is first done by diving into the context of physical therapy, its advantages and its approaches through literature research. This is followed by literature research on culture and organisational culture. With observations and interviews a current analysis is made of the organisational culture that is present at ELEVEN. Co-creation sessions were later held to shape a future vision, relevant for strategic decision making. These results come together in a guide book and a poster, which explains the complexity of the organisational culture and it’s components through a metaphor.

The metaphor is aimed at explaining the culture through the notion of building a house, where the different components of a house have different functions in a bigger complex structure. The metaphor consists of 9 layers:

1. The foundation – The 11 core values of ELEVEN
2. The framework – The employees
3. The isolation – The house rules
4. The bricks – The products and services
5. The cement – The community of ELEVEN
6. The doors – The mission
7. The windows – The (future) vision
8. The roof – The clan culture
9. The interior – The physical appearance

This metaphor combines different cultural aspects and explains them as an interconnected whole that needs to be nurtured and protected. The practical guidelines included in the book provide a way to strategically grow in a way that protects the culture and her people.

To make sure the solution is applicable and relevant, it was tested with the relevant stakeholders. The results of this validation resulted in a final design complete with implementation recommendations. The thesis concludes with a conlusion and a discussion on relevance and future research.