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FINAL PAPER ASSIGNMENT INSTRUCTIONS
The syllabus for the final paper is: Length of paper: The total length of the text portion of the
paper will be reduced to a maximum of 7 to 12 pages, DOUBLE SPACED. Please try to stick
within these page lengths. Efficiency in the structure and presentation will be rewarded.
Style and details: Please use Grammarly and Turnitin, as the goal here is to challenge you to
create a concise and well-organized memorandum to your CEO. If English is not your native
language, please trust me to recognize that and accommodate the extra challenge. Do not be
embarrassed to make sure I know this fact (in a footnote.). This is a “Risk Management” class,
not an English writing class. I am looking for precision of thought more than fluency in writing. I
strongly advise you NOT to use any AI assistance with this assignment. It might make it easier,
maybe, but its cheating and, more importantly, it is cheating you. You will not have AI available
all the time to do your thinking for you, and if it is, you won’t have a job anyway. The paper
should have a short (one paragraph) “Executive Summary.” Look this term up on the internet for
further details. It is intended to be a summary of your presentation, not a summary of the task
assigned. Stick to the details in the syllabus regarding double spacing and font size. 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, which may include
readings for this class.
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 two 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. Then, identify and describe in detail the
consequences you anticipate (such as any process or implementation issues) and how you
should prepare to manage them. Suggest a basic timeline for the implementation of your
suggestions, taking into account the risks that you have identified and the steps you propose to
take. Finally, provide a brief statement of your assessment of the Cynefin system in which this
process with be conducted. The Cynefin discussion is included in the Announcements for each
Section. 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.
Cynefin
David Snowden
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