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This complex role-play presents valuable lessons in restructuring and downsizing, joint hospitals and affiliations, negotiation, demographic changes and management under pressure.

This case study is about the struggle of a rural county health department to maintain financial and political balance in the face of rapid population increase.

This case follows Greg Nickels as he navigates how the King County Board of Health will address reporting individuals with HIV.

This case presents the challenges facing Greg Nickels, the chair of the King County Board of Health, who must decide how the board will address the issue of reporting individuals with Human Immunod

After 5 cyclist fatalities in 16 months, city leaders decided something needed to be done.

Bicycling and Coast City is a comprehensive case study based upon a fictionalized city on the central coast of a Western state.

This case is a popular exercise illustrating issues in government/nonprofit contracting. Especially interesting in light of current discussions about contracting out government services.

This role-play exercise raises issues concerning relations between a government agency and a nonprofit contractual service provider.

CFLs pose potential environmental, health, and safety risks, but are a necessity. What do we do about products, or practices, that have obvious benefits and yet also pose some risks? What is “acceptable risk” in a democratic society? And who decides?

Consumers have increased their use of compact fluorescent lamps (CFLs) due to their greater energy efficiency relative to traditional incandescent bulbs.

Set in rural Wyoming, this is a multi-faceted consolidation case, which depicts the efforts of Holy Family Hospital and Gorsich General Hospital to reduce operating costs by combining services.

This case can be used in a graduate level public management and leadership course to allow students to consider different approaches for Vice Minister Quesada in implementing major organizational change and how he handles the pressures upon him as a person and leader. This case can also be used in a leadership and organizational performance course to evaluate Quesada’s restructuring approach in managing rural health implementation and how to monitor and focus attention. Finally, this case could be used in a management course related to international development in the health sector to analyze the complex environment public manager’s face in implementing sweeping organizational changes in the developing world as well as his tactics for dealing with institutional opposition.

The case narrator is doing research on the health sector in Portobello—an alias for a Central American country—and follows Vice Health Minister Jose Manuel Quesada as he implements several major po