SCENARIO

You are an administrator at Twin Pines Medical Center (TPMC). TPMC has been considering affiliating with another organization, and you have been asked to explore a potential affiliation agreement with either Mayo Clinic, Intermountain Healthcare, or the organization you chose to evaluate in assignment 3 of Task 1. In your exploration, you will evaluate the needs, goals, and strategies of TPMC and each of the potential affiliate organizations before making a recommendation and plan for affiliation.

Complete the attached “TPMC Affiliation Recommendation Template” (suggested length of 7–10 pages), which will be submitted to the advisory board of TPMC for approval, by doing the following:
A. Discuss the goals and rationale for an affiliation by doing the following:

1. Explain key goals for the affiliation and specific criteria a candidate affiliate must meet.
2. Identify three specific advantages a well-aligned affiliation would provide for TPMC.
3. Analyze the current state of TPMC and the projected market segmentation for TPMC anticipated from the proposed affiliation. Your analysis must be supported by demographic data and include the following elements:
   • the current state of TPMC, including anticipated market segmentation
   • location-specific demographics
   • how the population’s health needs align with the proposed affiliation

B. Discuss the affiliate recommendation by doing the following:

1. Recommend an affiliate based on your goals and rationale from part A and include key attributes of the proposed organization that support the affiliation.
2. Identify the major benefits of affiliation with this organization and describe how these benefits strategically align with TPMC’s goals.
3. Discuss specific reasons to avoid affiliation with each of the other potential candidates. Support your reasons with sources.

C. Discuss the affiliation plan for the proposed affiliation structure by doing the following:

1. Describe your proposed affiliation structure and include justification for the selection.
2. Create new organizational, vision, mission, and value statements for the new proposed affiliation structure.
3. Develop a leadership plan for the proposed affiliation structure that includes the following elements:
   • strategies for overall organization management
   • strategies for the collaborative decision-making process
   • evidence-based principles, strategies, and tools of effective change management
4. Describe how to maintain and improve employee satisfaction, engagement, and retention in a culture of positive change.
5. Describe two opportunities and two challenges for the affiliation for TPMC.
6. Discuss the impact the organizational cultures of TPMC and the affiliate organization could have on the future of the proposed affiliation.
7. Discuss reasons for termination of the affiliation agreement.
8. Provide a potential exit strategy that is actionable and includes three action steps.
9. Discuss future challenges and opportunities that could result from the affiliation in regard to the evolving community healthcare landscape.