| Course | MMHA 6999 Strategic Leadership Management |
|---|---|
| Week | Week 7 |
| Paper type | Stakeholder brief |
| Length | About 610 words, 5 pages |
| Format | APA 7 student paper |
| School | Walden University |
| Program | Master of Healthcare Administration (MHA) |
| Updated | October 2026 |
Free sample paper for MMHA 6999 Week 7
Stakeholder Brief: Who Loses What When Births Leave Alder Creek, What Each Group Would Accept, and What We Cannot Promise
Student Name
Walden University
MMHA 6999: Strategic Leadership Management
Instructor Name
Month Day, Year
Stakeholder Brief: Who Loses What When Births Leave Alder Creek, What Each Group Would Accept, and What We Cannot Promise
Purpose
This brief prepares Juniper Valley Health's leaders, in the composite rural system used for this capstone, for conversations with every group affected by consolidating births at the regional hospital. For each group it states what the group loses, what it might accept in return and which promises leaders must not make because they cannot be kept. Mitchell et al. (1997) argue that a group's claim on managers' attention grows with how much it can affect the organization, how rightful its claim is and how pressing its concern feels. Every group here has a legitimate claim; they differ in power and urgency, which shapes the order and form of engagement.
Stakeholder Table
Table 1
Losses, Acceptable Alternatives and Promises to Avoid
| Group | What it loses | What it might accept | Promises not to make |
|---|---|---|---|
| Pregnant patients and families in the Alder Creek area | Delivery within 15 minutes of home | Local prenatal care, a navigator, lodging and transport near term, emergency readiness at Alder Creek | That no one will deliver on the road; that travel times will not matter |
| Alder Creek obstetric nurses | Their unit and, for some, their specialty | A guaranteed job elsewhere in the system, at the regional unit or in Alder Creek's emergency and clinic services, plus retention pay | That every nurse can keep the same schedule or role |
| Delivering family physicians | Obstetric practice at their home hospital | Privileges at the regional hospital for those who wish; continued prenatal care | That they can keep delivering at Alder Creek part-time |
| Alder Creek Hospital foundation | Its signature fundraising cause | Redirecting gifts to the prenatal clinic and emergency readiness; naming of the new family lodging | That the maternity rooms will reopen later |
| County commissioners | A visible community service | Regular public reporting on outcomes, travel times and emergency births | That the decision will be reversed if outcomes are mixed |
| Regional hospital obstetric staff | Stability of current workload | New positions and an additional obstetrician-gynecologist | That workload will not rise |
Every group loses something specific. Naming each loss plainly keeps the brief from selling the change as pure gain.
The Promises That Cannot Be Made
The third column is the most important. Leaders under pressure in public meetings will be tempted to reassure people with promises the system cannot keep, such as saying that no one will give birth on the way to the hospital. National data show that rural counties losing obstetric services see more births outside hospitals and in emergency departments (Kozhimannil et al., 2018). A promise of none would be broken, and the system's credibility with it. Nor should leaders suggest that Alder Creek is unusual; about one rural county in eleven lost hospital obstetric services in a single decade (Hung et al., 2017). The honest message is that the system has planned for those risks, will drill for them and will report how often they happen.
Engagement Approach
Families and nurses have the most urgent claims and should hear first and in person, as the change plan will sequence. Commissioners and the foundation have more power and should be briefed privately before public announcement. Physicians should be consulted on the clinical arrangements before they are finalized, since their support affects how families respond.
Conclusion
Each group affected by the decision loses something real. The brief gives leaders a truthful account of those losses, a set of alternatives each group might accept and a short list of promises that must not be made. Saying what will be lost, and what will not be promised, is what makes the commitments that remain believable.
References
Hung, P., Henning-Smith, C. E., Casey, M. M., & Kozhimannil, K. B. (2017). Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004-14. Health Affairs, 36(9), 1663-1671. https://doi.org/10.1377/hlthaff.2017.0338
Kozhimannil, K. B., Hung, P., Henning-Smith, C., Casey, M. M., & Prasad, S. (2018). Association between loss of hospital-based obstetric services and birth outcomes in rural counties in the United States. JAMA, 319(12), 1239-1247. https://doi.org/10.1001/jama.2018.1830
Mitchell, R. K., Agle, B. R., & Wood, D. J. (1997). Toward a theory of stakeholder identification and salience: Defining the principle of who and what really counts. Academy of Management Review, 22(4), 853-886. https://doi.org/10.5465/amr.1997.9711022105
The Walden MMHA 6999 Week 7 instructions
Stakeholder briefs ask you to prepare leaders to communicate a decision to each affected group. Identify every group with a legitimate stake. For each, state plainly what it loses, what alternatives or commitments it might accept and which promises leaders must avoid because they cannot be kept. Use a stakeholder framework to explain how groups differ in power and urgency and how that shapes the order and form of engagement. Support the promises-to-avoid column with evidence about likely outcomes. Keep the brief short and practical; leaders will use it before meetings. Avoid framing losses as benefits, since stakeholders recognize spin quickly and it costs the credibility the change will need later.
How the MMHA 6999 Week 7 example is put together
The brief opens with its three questions and Mitchell and colleagues' framework. Table 1 lists six groups with what each loses, what it might accept and promises not to make. A section explains why the promises column matters most, citing Kozhimannil and colleagues and Hung and colleagues. An engagement section sets order and form: families and nurses first and in person, commissioners and foundation privately before the announcement and physicians consulted on clinical arrangements. The conclusion argues that naming losses makes the remaining commitments believable. The table is designed to be read aloud before a meeting, one row per group, and the engagement section tells leaders who should be in the room for each conversation.
Reading the MMHA 6999 Week 7 rubric
Stakeholder briefs are graded on completeness and candor. Identifying all affected groups earns the foundation. Stating each group's loss specifically, without euphemism, earns significant credit. Realistic alternatives each group might accept show practical insight. The promises-to-avoid column, supported by evidence, demonstrates ethical and strategic judgment, and is often what distinguishes strong briefs. Using a framework to order engagement shows theoretical grounding. Brevity and a usable table are expected. References should support the framework and the risks named. Instructors also notice whether the brief gives leaders language they can actually use, rather than principles alone. A brief that would survive a hostile public meeting scores better than one that only reads well.
MMHA 6999 Week 7 help: mistakes that cost marks
Stakeholder briefs often describe every group as a beneficiary. Start by writing down what each group loses. Then ask what would make that loss acceptable to them. Then list what leaders must not promise, because a broken promise will cost more than an honest answer. Use a framework to decide who hears first and how. Keep it to a page and a table. If you are preparing leaders for a difficult announcement, our writers can help you draft a brief that keeps them honest and ready for hard questions. Practice the hardest answer, the one to a family who asks whether their baby will be safe, before any meeting.
Get a MMHA 6999 Week 7 example written to your instructions
Send the stakeholder prompt, the decision it follows and the rubric attached, and a finished MMHA 6999 Week 7 brief arrives inside 24-48 hours; a first request carries no charge. Each group entry names a concrete loss and a deliverable substitute, and the groups without one are reported rather than smoothed over.
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MMHA 6999 Week 7 questions, answered
Where can I find a free MMHA 6999 Week 7 sample paper?
The stakeholder brief, losses table included, is published here.
What three questions does the MMHA 6999 Week 7 brief answer for each group?
What the group loses, what it might accept instead and which promises leaders cannot honestly make.
Which promise must leaders avoid with families?
That no one will give birth on the way to the hospital or that travel times will not matter.
Who is engaged first, and why?
Families and obstetric nurses, in person, because their claims are most urgent and their losses most personal.
Why name losses so plainly?
Honesty about losses makes the commitments that remain believable to the community.