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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.
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