Bring the Angels back

ProHub Comment

This is a human capital case focused on nurse retention at a hospital. The case uses a progressive reveal strategy with exhibits showing wage data, employee preferences, and strategic initiatives—pushing candidates to move beyond simple pay increases to identifying deeper drivers like career advancement and scheduling flexibility. The case tests problem-solving methodology (MECE framework), data analysis, and business prioritization under budget constraints.

Estimated Time 16 minutes
Difficulty Easy
Source Duke
10 / 100
Your client is a multi-specialty hospital in the United States offering emergency care, scheduled surgeries, labor and delivery services, diagnostic testing, lab work, and patient education. The hospital is experiencing a high turnover of nurses in the past 12 months. The client needs your advice on how to better retain nurses and reduce turnover.

Clarifying Information

  1. Client’s main goal is to bring back retention numbers to pre-12 months level of 85% with a strategic initiative(s) budget of $1M
  2. The competition is facing high turnover as well. However, the turnover rate for our client is higher than the industry average
  3. The hospital has a revenue of ~$10M with 2% YoY growth for the last 5 years
  4. Turnover rate for doctors, technicians, and other administrative staff is lower than industry average and is not concerning
Mock Interview
Interviewer

Your client is a multi-specialty hospital in the United States offering emergency care, scheduled surgeries, labor and delivery services, diagnostic testing, lab work, and patient education. The hospital is experiencing a high turnover of nurses in the past 12 months. The client needs your advice on how to better retain nurses and reduce turnover.

You

Thanks. Before analyzing, I'd like to clarify a few key questions...

Interviewer

Good question. Let me provide some background information...

You

Based on this, I suggest analyzing from these dimensions...

AI Score
Structure Analysis Communication Business Sense Quantitative
Practicing...
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Practice this case with AI Mock Interview

A multi-specialty hospital with $10M revenue is experiencing higher-than-industry-average nurse turnover. The goal is to improve retention from current ~70% back to 85% within a $1M budget. Analysis reveals nurses prioritize career advancement and schedule flexibility over pay. Recommended solutions include mentorship programs, dynamic scheduling tools, eliminating mandatory overtime, and cross-department rotation programs.

Key Insights:

  1. Turnover problem is specific to nurses, not other hospital staff, suggesting role-specific factors
  2. Wage constraints mean solution must focus on non-monetary drivers of retention
  3. Nurse survey data identifies career advancement and schedule flexibility as top 2 lagging areas (75% behind competitors)
  4. Strategic initiatives have varying adoption probabilities and impact levels—requires weighted analysis to hit 15% retention improvement target within budget
  5. Combination approach needed: multiple initiatives at different price points to maximize ROI and reach 85% retention goal