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Children's Hospital in Transition

John Leader, president of Simsbury Children’s Hospital, was reviewing the recommendations put together by his senior management team to resolve the growing problems his hospital was facing. The recommendations, totaling some $10 million, could put the…

Sweetbriar Hospital (Parts A, B, & C)

Lucy Normen, Chief Operating Officer of Sweetbriar Hospital, had just gotten off the phone with her Emergency Department Director, Dr. Max Warner. He was very upset with the present situation in the ED: people currently boarding in the ED hallways…

Eastern Cape Clinic (Parts A, B, & C)

Thandeka Sisulu had just been hired as the new administrative director for the Eastern Cape Clinic, located in the outskirts of the South African city of East London. The Clinic had opened about 18 months ago with support from the government and from two…

Casey Dental Associates

Dr. Casey had just come out of a long meeting with his business manager, Linda Baker, and he was quite concerned. She shared with him that his practice was losing $10,000 a month on monthly revenues of approximately $90,000. Just six months ago he had…

Carlsbad Home Care--The Alternatives

Doing a breakeven analysis for Carlsbad Home Care helped Director Louise Tucker better understand how many more visits she needed to eliminate her deficit. However, she wasn’t sure that there was really demand in the community for more nursing, physical…

Southcoast Health System (Parts A & B)

Southcoast Health System consists of three hospitals in southeastern Massachusetts: St. Luke’s in New Bedford, Charlton Memorial in Fall River, and Tobey in Wareham, as well as numerous affiliated entities. But how did the merger that created the…

Strategic Planning in Lesedi District, South Africa

Mr. Joseph Nkosi, the Manager of the Lesedi District Health Department, South Africa, was hopeful that he could bring increased resources and better health to the area. Lesedi District, one of about 50 districts in 9 provinces in South Africa, was a…

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