Future Care Model Challenge  ·  Simulation Roles
Lakeview Executive Leadership Team
Each participant plays one of six executive roles. Each role carries a public mandate — and a hidden pressure unlocked only with a password provided privately to you.
6 leadership roles
2 days of simulation
Hidden pressures — enter the password given to you by your facilitator
Your password works only on your own role card
MH
Health System CEO
Dr. Morgan Hayes

The strategic integrator. Responsible for system-level vision, board relationships, and final decision authority. Holds the tension between clinical quality and financial sustainability.

Primary Goal
Ensure the long-term clinical and financial sustainability of Lakeview Health Collaborative. Lead the leadership team toward a unified, implementable strategy.
Key Concerns
  • Financial margin pressure from the board
  • Hospital capacity constraints
  • Physician trust and alignment
  • Community accountability and media scrutiny
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
The board has issued a private ultimatum: operating margin cannot fall below 2% in Year 1 of any new model. Any strategy that requires significant upfront investment without a credible near-term return will face board resistance — and potentially your job.
PA
Chief Medical Officer
Dr. Priya Anand

The clinical voice. Bridges the physician community and administrative leadership. Responsible for quality, safety, and physician engagement. Often the most trusted — and most conflicted — role.

Primary Goal
Protect clinical quality, safety, and the integrity of the physician community through the transformation process.
Key Concerns
  • Physician burnout and morale
  • Resistance to technology-imposed change
  • The gap between administrative decisions and clinical reality
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
A group of five senior attending physicians — among the most influential in the medical staff — have privately told you they will explore employment at a competing system if digital health mandates are imposed without meaningful physician input. You cannot let this become public.
JP
Chief Innovation Officer
Dr. Jordan Park

The change catalyst. Responsible for digital health, care model transformation, and technology partnerships. Ahead of the organization in thinking; sometimes ahead in the room.

Primary Goal
Lead the design and integration of next-generation care models, digital health technologies, and strategic partnerships to transform how Lakeview delivers care.
Key Concerns
  • Legacy technology infrastructure
  • Slow organizational change culture
  • Resistance from clinical staff to new tools
  • Challenge of piloting innovations at scale
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
A major regional health technology company has offered Lakeview a significant strategic partnership — exclusive digital health infrastructure, shared data systems, and co-marketing value. The offer expires in 90 days. You believe it is transformational. Others may see it as a risk.
AR
Payer / Health Plan Representative
Alex Rivera

The financial architect. Brings an insurance and managed care perspective. Focused on cost reduction, utilization management, and value-based payment design.

Primary Goal
Redesign Lakeview's payment architecture to reduce unnecessary utilization, align incentives with outcomes, and make the system financially sustainable under value-based contracts.
Key Concerns
  • Overuse of high-cost hospital services
  • Lack of accountability for total cost of care
  • Provider resistance to risk-sharing arrangements
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
Your health plan's parent organization is actively evaluating whether to steer its commercial members toward a competing system that has already moved to a full-risk capitated model. If Lakeview does not commit to a meaningful value-based transition this year, the plan may redirect significant patient volume within 18 months.
MW
Community Health Director
Maria Washington

The equity and access champion. Represents community health organizations, public health, and the patients who are hardest to reach. Challenges the system to look beyond its walls.

Primary Goal
Expand access to prevention, primary care, and social services for all communities served by Lakeview — including the 27% of residents in medically underserved areas.
Key Concerns
  • Health disparities and lack of community trust
  • Fragmented clinical and social services coordination
  • Inadequate investment in community-based programs
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
A coalition of community organizations, faith leaders, and local elected officials is preparing to go public with a report documenting Lakeview's historical disinvestment in low-income neighborhoods. The report will be released in six weeks. If the new strategy does not include a credible equity commitment, the public and political fallout could be severe.
SC
Patient Advocate
Sam Chen

The human voice. Brings the patient and family perspective into every strategic discussion. Challenges the team to ask: what would this actually feel like for the person receiving care?

Primary Goal
Ensure that the voices, experiences, and needs of patients and families are represented in every strategic decision. Hold the team accountable for designing care that is accessible, navigable, and dignified.
Key Concerns
  • Long wait times and fragmented care coordination
  • Health literacy and financial barriers to care
  • Patients who fall through the cracks
Hidden pressure — enter your password to unlock
Incorrect password. Check with your facilitator.
You have been approached by a local journalist writing a patient experience exposé. The story includes interviews with three patients who describe serious care coordination failures and unexpected billing surprises after Lakeview encounters. The article is being fact-checked now. Your presence at this table is the system's best chance to get ahead of it — if the strategy actually delivers.
Playing your role

Your role card reflects a real perspective that exists in every health system. The most important thing is to advocate authentically for your role's priorities — while remaining open to building coalitions. Your hidden pressure is yours to manage strategically.

On hidden pressures

You are not required to reveal your hidden pressure. You may choose to use it as a negotiating lever, disclose it to build trust with certain colleagues, or keep it entirely private. Real executives navigate exactly these kinds of undisclosed constraints every day.