Please help me to write an Executive Memo: "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$/$locality$,$ 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, in addition to the

regular hospital services: a walk$-$in orthopedic clinic; a referral based radiology department with

$1$

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:

$1.$

$2.$

$3.$

the risks of continuing to offer the services in each clinic with $15\%$ less staff;

the benefits of continuing to offer the services of each clinic;

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,

$5.$

regulatory and 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 VERY brief statement of your assessment of the Cynefin system in which this

process with be conducted. The Cynefin discussion will be based on the reading entitled A

Leader$$s Framework for Decision Making, which I will address in more detail in our last

meeting on April $20.$ This short paragraph is actually outside of the $$concept$$ of a memorandum

to the CEO, so you may separate it from the main memo$/$paper$.$

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.$)$ However, it would be good to consider any additional costs which you may identify."