Imagine that you are the CEO of a large, metropolitan, multispecialty health care organization located in an urban city within the United States. The health care organization is for-profit and privately held. The demographics of the surrounding area include military personnel, educators, government employees, professionals, factory workers, and laborers. With the recent and proposed changes in health care regulations and the uncertainty surrounding federal law (e.g., the Affordable Care Act), the organization must cut costs and reduce the number of full-time personnel. The board has asked you to create a bulleted Executive Summary of the key positions that must be retained within the organization and the positions that can be eliminated. Provide your opinion about how these personnel changes could impact quality and patient satisfaction.
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