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A hospital CEO must lower costs in a regional burn care unit while averting a nurses' strike. Use data on patient acuity classification, scheduling, and skill mixes to devise a strategy that will enhance nurses' long-term job satisfaction.

Managed care contracts have reduced the reimbursement levels for burn care in a regional hospital.

The goal of this case is for the student to realize that budgetary preparation is not merely a quantitative exercise but has real ethical human consequences. This case is unique in that the emphasis on budgeting occurs at the departmental/agency level rather than at a wider jurisdictional level.

This case places the student in the role of Pat Alvarez, the Director of Human Resources for a large city.

Engages class to find cost saving and performance improvements in providing outside medical care for inmates. The case demonstrates how to identify simple changes that can lower costs and improve performance.

This is a case about state and local government, where major problems in providing medical services through a county hospital to inmates of a state prison have prompted a review of the process.