Plight after Oversight at Community Medical Services, found in Introduction to Health Care Management, p.465. Executive Summary: This case study is based on a successful physician practice that happens to be in transition. Different physician perspectives on patient care generate different results, different priorities, different patient satisfaction levels, different opinions on cash collections, and different practice management philosophies. A changing business plan and strategy can be difficult to navigate in a small business, especially with the change-resistant tenured staff