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AI Assistant 
Majk Rabbit
Majk Rabbit Reasoning Simulating staffing gaps, community trust, funding timing, operational stretch...
Ranking Ordering scenarios by likelihood × impact...
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AI Assistant Majk Rabbit
Majk Rabbit Pre-Mortem: Community Health Clinic Expansion
6 failure scenarios · ordered by likelihood × impact
🔴 HIGH
Staffing gap kills the launch
You need 3 bilingual nurse practitioners to open the second site. The regional talent pool has a 6-month wait for qualified candidates. Doors open in 4 months. You're planning to hire — not confirming you can.
→ Start recruiting now. If no signed offers by week 6, activate a locum tenens contract as bridge staffing. Don't announce an opening date until staffing is confirmed.
🔴 HIGH
Existing site suffers while attention shifts
Your leadership team is 4 people. All 4 will be consumed by the new site for 3+ months. The existing clinic's patient satisfaction and wait times degrade. You lose the base while building the expansion.
→ Name an interim site lead for the existing clinic before expansion work begins. Define 3 metrics (wait time, no-show rate, patient satisfaction) that trigger an automatic pause on expansion activities.
🟡 MED
Grant funding timeline doesn't match build timeline
The HRSA expansion grant reimburses costs but doesn't advance them. You'll carry $380k in expenses for 4–6 months before reimbursement. Your operating reserve is $420k. One surprise expense and you're in a cash crisis.
→ Secure a bridge line of credit before committing to the build timeline. Or restructure the build into phases that match the reimbursement cycle.
🟡 MED
The new neighborhood doesn't trust the clinic yet
Your existing site built trust over 8 years. The new location is in a community with documented healthcare distrust. If patient volume doesn't reach 60% capacity in 6 months, the economics don't work.
→ Start community engagement 3 months before opening — not at opening. Partner with 2–3 trusted community organizations who can vouch for you. Hire at least one staff member from the neighborhood.
🟢 LOW
Regulatory approval takes longer than expected
State licensing for a new clinic site involves inspection, credentialing, and Medicaid enrollment. Average processing time is 90 days but can stretch to 150. Your timeline assumes 90.
→ Submit all applications in week 1. Build 60 days of buffer into the timeline. Don't sign the lease with a hard start date — negotiate a flexible occupancy clause.
🟢 LOW
EHR integration delays patient records access
Your electronic health records system needs to extend to the new site. If the vendor takes 8 weeks instead of 4, clinicians at the new site can't see patient history from the existing site for the first month.
→ Get a written timeline commitment from the EHR vendor with a penalty clause. Have a paper-based fallback protocol ready for the first 30 days.
The expansion plan is sound — but the sequencing isn't
5 of 6 failure scenarios are about timing and sequencing, not the expansion itself. Staffing, community trust, and cash flow all need to be resolved before you commit to a launch date. The clinic will work — if you don't announce the date before confirming the prerequisites.
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AI Assistant Majk Rabbit
Majk Rabbit A
AI Assistant Majk Rabbit
Majk Rabbit Pre-Mortem: District-Wide Curriculum Rollout
5 failure scenarios · 12 schools, 340 teachers, fall semester launch
🔴 HIGH
Teachers haven't internalized the material by day one
Summer training is 3 days. The new curriculum requires a fundamentally different teaching approach (project-based vs. textbook-driven). 3 days isn't enough to change pedagogy — teachers will default to old habits under pressure.
→ Run a pilot with 30 volunteer teachers in spring. Use their experience to build the summer training. Pair every teacher with a trained peer mentor for the first semester.
🔴 HIGH
Parent backlash derails the rollout politically
Parents see unfamiliar homework. They don't understand the new approach. 50 parents show up at the October board meeting angry. Two board members who voted for the change start wavering. The superintendent pauses the rollout "for review."
→ Host parent information sessions in August — before school starts. Create a one-page "what's different and why" handout for backpack night. Give principals talking points for the first parent complaints.
🟡 MED
Assessment mismatch creates confusion
State standardized tests still align to the old curriculum. Teachers feel caught between "teach the new way" and "prepare for the test." They do both badly.
→ Map the new curriculum to state standards explicitly. Show teachers which new activities cover which test objectives. Remove the perceived conflict.
🟡 MED
Materials arrive late or incomplete
Publisher committed to July delivery for 340 teacher kits. Any delay means teachers scrambling to photocopy and improvise in week 1. First impressions of the new curriculum become "disorganized."
→ Order by April 1. Get a contractual delivery guarantee. Have a digital-only fallback ready for the first 2 weeks.
🟢 LOW
Veteran teachers opt out informally
Experienced teachers with 15+ years close their doors and keep teaching the old way. Nobody checks. The rollout is technically complete but actually only reaches 60% of classrooms.
→ Build in classroom walk-throughs (supportive, not evaluative) in months 2 and 3. Make adoption visible without making it punitive.
The curriculum is ready — the people aren't yet
Both high-risk scenarios are about humans, not materials: teachers who haven't had enough time to change their practice, and parents who haven't been brought along. Address those two before committing to a fall launch date.
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AI Assistant Majk Rabbit
Majk Rabbit