Discussion question and assignment
You have a job as the middle-level executive in a 250-bed hospital. The hospital is technically a
“non-profit” hospital, but it is run as close to a “for profit” goal as possible. As a result of
dislocations to the health care industry in your state, your hospital has suffered a 15% loss of
trained health care provider staff across the entire hospital, including physicians, nurses, and
licensed personnel of all kinds. The hospital has operated five (5) clinics: a walk-in orthopedic
clinic; a referral-based radiology department with MRI, CT, and ultrasound facilities; a labor and-delivery suite with neonatology; a wound care center with hyperbaric equipment; and, a
locked, in-patient pediatric psychiatric facility.
Your CEO has assigned you the task of making a report to her, for presentation to the hospital
Board, assessing the risks associated with closing
of these five clinics. She has asked you to
describe the risks of closing each clinic, as well as the risks of continuing to run the clinics.
You should evaluate the following:
1. the risks of continuing to offer the services with 15% less staff;
2. the benefits of continuing to offer the services of each clinic;
3. the risks of transferring non-physician personnel from the clinics to be closed to those
that will remain open, and an assessment of the training challenges/risks of using inexperienced
staff in the new clinics;
4. the potential personnel problems and possible solutions resulting from either (or both)
transferring employees to new assignments or laying off any extra staff; and,
5. any other problems or risks that may be encountered.
Make a recommendation which two clinics should be closed, with a brief explanation why they
should close and the others should remain open. In a succinct way, identify any process or
implementation issues you identify (this can be in a “bullet” format.)
Finally, suggest a basic timeline for the implementation of your suggestions, taking into account
the risks that you have identified and the steps you
You should prepare a memorandum that can be understood quickly and clearly. Do NOT worry
about the revenue issues (this is confidential information that you do not have, but which the
Board will know.) Consider any additional costs which you may identify.
Length of paper: The total length of the text portion of the paper will be reduced to a maximum of 7 to 9 pages. Please try to stick within these page lengths. Efficiency in the structure and presentation will be rewarded.
Details: The paper should have a short (one paragraph) “Executive Summary.” Look for Executive Summary term up on the internet for further details. The Executive Summary is intended to be a summary of your presentation, not a summary of the task assigned.
Use double spacing and 12 font size time new roman. Use one (1) inch margins all around. Page numbers should be included. You may have a cover page, but one is not required.
Please demonstrate your use of resources and research, I am looking for precision of thought more than fluency in writing.