About the Editors
PART I POLICY ENVIRONMENT OF HEALTH SERVICES DELIVERY
1 Carilion Clinic
Alexandra Piriz Mookerjee and Kurt Darr
Led by a new CEO, the efforts of a mid-Atlantic acute care hospital to develop a vertically integrated,
clinic-driven health services system result in allegations of antitrust, excessive healthcare costs, disruption
of physician referral patterns, and use of harsh collection practices, all of which cause a negative reaction
in its service area.
2 Flu Vaccine
Mary K. Feeney and Abigail Peterman
Flu vaccine shortages in 2004â€“2005 caused by a major manufacturerâ€™s problems with quality control
result in federal and state efforts to secure supplies of the vaccine and raise public policy and resourceallocation issues that users can role-play in three scenarios.
3 Merckâ€™s Crixivan
Kimberly A. Rucker, Nora G. Albert, and Kurt Darr
A pharmaceutical manufacturer encounters significant negative stakeholder reaction to its introduction
of a new medication for the human immunodeficiency virus despite having met expectations for clinical
rigor and carefully assessing stakeholders and the external environment.
4 Pineridge Quality Alliance: A Case Study in Clinical Integration and Population Health
Tracy J. Farnsworth
A new CEO urges his board to move toward becoming an accountable care organization and promoting
regional population health, which demands choosing among three common approaches to navigating the
challenges and opportunities of developing a clinically integrated network.
5 Hawaii Health Systems Corporation: The Politics of Public Health Systems Governance
Earl G. Greenia
A healthcare executive facing continual public policy restructuring of Hawaiiâ€™s Health Systems
Corporation must develop strategic options for his board to consider in response to this environmental
PART II STRATEGIC MANAGEMENT
6 Riviera Medical Center
Michael J. King and Robert C. Myrtle
The CEO of a 350-bed hospital explores strategic alternatives to enhance its financial situation and
reputation by asking the hospital board to approve a worksite wellness program to be marketed to area
companies to improve workersâ€™ health and decrease employersâ€™ healthcare costs.
7 Edgewood Lake Hospital: Leadership in a Rural Healthcare Facility During Challenging Economic
Brent C. Pottenger, Douglas Archer, Stephen Cheung, and Robert C. Myrtle
The new CEO of a 30-bed, not-for-profit rural hospital faces a turnaround situation to make the
hospital profitable after 3 years of losses. Problems include challenging payer mix, employee overstaffing,
and difficulty recruiting physicians.
8 Klamath Care: Targeting and Managing Growth and Company-Wide Development
Tracy J. Farnsworth, Leigh W. Cellucci, and Carla Wiggins
The CEO of a growing system of urgent care centers recounts the organizationâ€™s development over a
decade while considering strategies and options for future growth in an increasingly crowded
marketplace with an analysis that uses financial, market share, and demographic data.
9 Hospital Consolidation
Tracy J. Farnsworth
This case focuses on the relationship healthcare providers have with their local and regional markets and
the need to balance organization and community interests when making decisions that affect
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