What specific challenges are occurring at the organization that make sense to propose the capital expenditure? These opportunities (challenges) will then need to segue to a very specific capital expenditure project to mitigate those issues you mention. The proposal will need to be a very specific capital expenditure. Please create a narrative (a story) that does not need to be factual but will lay track for you to build a proposal. You want to try to use whatever knowledge you have from work experiences to shape this project. You could discuss the increase of AI usage and perhaps build a story about the need for additional computers, etc. You could propose that there are x number of lives in a surrounding community that represent a specific demographic that may lack transportation. For example, perhaps there is a large geriatric population with several large apartment buildings that cater to lower income and/or geriatric patients. Then develop how telemedicine could bring in revenue as well as provide care to those who may not be able to reach services. You could postulate that the existing ambulatory surgery center (ASC) always has patients waiting and there is vacant storage space adjacent that could be renovated to add a couple suites. Your capital expenditure would be the exam tables and furniture, etc. With all of the new construction, you could propose adding check-in kiosks at the outpatient clinics. Let your imagination run free to scale back your proposal to something you can thoroughly discuss. As you prepare for Milestone Four, please be prepared to be more specific about what capital expenditure you are proposing. You will want to identify a specific expenditure and explain where and how it would be used as well as how this will help mitigate the problems you identified in opportunities. In Milestone Four you will need to you will need to be prepared to provide solid metrics as you begin discussing how to finance your proposal and define in numbers the short term, intermediate term, and long-term impact on the financials with your proposal. Further, you will be justifying your proposal to the executives of your organization. Wont they want to know specific such as the amount of money you are going to need and an approximate timeline, etc.? Introduction Opportunities: Based on your analysis of the major forces, impacts, and opportunities provided, consider the specific organization that you selected. What opportunities exist for this organization, and how do these opportunities relate to the big-picture view of healthcare? Proposal: What is your proposal for addressing identified issues or improvements within your organization? In other words, what changes are you trying to incorporate in your selected organization? Topic Duke University Health System