Software Transition Impact
WGU's Four-Step Tool (based on "Six Steps to Thinking Systemically" by Michael Goodman and Richard Karash)
STEP 1: Complete an Iceberg Tool for this case study.
Questions to Ask
1. What are the key events in this case study?
The key events in case study 2 are Fielder Medical Center tries to maximize profit while they have a strong
business and happy patients. They created a plan to capitalize on positive patient reviews to attract more
patients. Though there was a success with their plan and were fully booked for the next four months, patients
experienced longer wait times. Unfortunately, this caused a lower rate of patient satisfaction. To address this
problem, the medical center hired more doctors and nurses with the profits they made. However, they
underestimated how long it would take to interview, hire, and train the new hires; which resulted in losing
patients to other medical practices. Regardless of their problem, their business began to prosper again due to
positive reviews, which led to the same problem over again. All in all, the Fielder Medical Center decided to not
hire more people and hold onto their profits.
, 2. What patterns do you notice in the key events of this case study?
The pattern I notice in the key events of this case study is a recurring rise and fall pattern in patient satisfaction
and clientele. Patient satisfaction levels tend to rise when there is a balanced ratio of patients to medical staff.
Although, when the schedule becomes more booked, patients receive less care and attention due to
understaffing. This essentially causes a decline in satisfaction. The medical center’s management response to