1. For the HMO vaccination program example provided in the chapter, reanalyze the situation assuming that the probability of a flu outbreak is 65 percent and the cost of the vaccination program is $8 million. What is your decision under these new condition

2. In the DRG case-mix problem, VVH determined that it could convert 15 of its routine beds to ICU beds for a cost of 2,000. What should VVH do, and why?

3. The high cost of the medical care and insurance is a growing societal problem. Develop a mind map of this issue. ( Advanced: Use inspiration software.)

4. Individually or in teams, develop a map of a healthcare process or system with which you are familiar. Make sure that your process map has a start and an endpoint, all inputs and outputs are defined, and all key process steps are included. Explain your map to the rest of the class -- this step may help you determine if anything is missing. ( Advanced: Use Microsoft Visio)

5. Choose a service offered by a healthcare organization, and create a service blueprint of it. You may have to imagine some of the systems and services that take place backstage if you are unfamiliar with them.

6. Think of a problem in your healthcare organization. Perform an RCA of the identified problem using the five whys technique and a fishbone diagram

7. Pick one solution to the problem identified in exercise 6, and conduct a force field analysis of it.