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Real FQHC case studies, structured with Rumelt's 'Good Strategy' framework: Diagnose → Guiding Policy → Coherent Actions.
31 case studies · 6 categories · Verified primary sources · Updated: 2026-04-30
Every case study is structured with Richard Rumelt's 'Good Strategy, Bad Strategy' framework — the same approach used by military leaders, Fortune 500 CEOs, and now FQHC leaders navigating the largest funding crisis in community health center history.
Identify the real problem — not the symptoms. Rumelt says most 'strategies' fail because they never diagnose correctly. Each case study starts with the specific structural diagnosis.
The overall approach — not a wish list or vague goals. A guiding policy is a decision about what to do and what not to do. It channels energy toward a clear direction.
Specific steps that reinforce each other. 'Coherent' means they work together — not isolated initiatives. Measured outcomes validate the approach.
Why Rumelt? Because 'bad strategy' isn't merely the absence of good strategy — it's an active disease. Fluffy language, goals without actions, failure to face the real problem. FQHCs can't afford bad strategy when H.R. 1 threatens $4.6B in funding.
Strategy
OKR Templates
Turn case study insights into measurable objectives for your FQHC.
ExploreStrategy
Execution Frameworks
Change management and decision tools for FQHC leaders.
ExploreIntelligence
Resilience Scorecard
See how 213 FQHCs score across 5 resilience dimensions.
ExploreAcademy
Masterclass Modules
Deep-dive strategy modules for the 2026 crisis moment.
ExploreNext move
Move from reading a playbook to modeling impact, assigning OKRs, and building the learning path.
Execution
Convert to OKRs
Translate the strategic choice into objectives, measures, and owners.
Finance
Model the funding impact
Connect strategic moves to Medicaid, PPS, and operating exposure.
Learning
Build the leadership path
Use the masterclass modules to train managers on the same playbook.
Evidence
Open the research base
Check the evidence library behind the strategic recommendations.