Two years have passed, and you recently received a call from your Chief Executive Officer asking for a meeting with you to discuss the status of the organization. During the meeting, the CEO requested that you complete an assessment of the organization's leadership practices, structure, culture, and strategic plan. The need for a strategic initiative at this time is based on a downturn in the economy and new partnerships and alliances in the regional marketplace. A preliminary analysis of market data reflects a projected 10% decrease in elective surgery admissions and a 5% increase in charity care and Medicaid admissions for the medicine specialty. In keeping with continuous performance improvement process and the mission and vision of the organization, you will incorporate transformational strategic planning into your assessment findings and recommendations.