NR-720 · Week 6 of 8 · Options, trade-offs and opportunity cost

NR-720 Week 6 Comparing Options and Trade-Offs: How to Write It

The short answer

Senior decisions are comparative. Nobody at executive level asks whether a proposal is good; they ask whether it is the best available use of a fixed amount of money, attention and workforce. This stage of NR-720 typically asks you to put two or three real options side by side, evaluate them against stated criteria, and recommend one while saying honestly what is lost by not choosing the others. Opportunity cost is the concept the whole stage runs on. Your section may print this as NR 720 or NR720; it is the same course. Chamberlain publishes no syllabi outside Canvas. The placement here is our teaching judgment from the course's catalog arc; your section's rubric decides what your week actually asks.

NR-720 Week 6 grading scale at Chamberlain, the criterion levels this assessment is scored on, from Chamberlain Tutors
How Chamberlain grades NR-720 Week 6, visualized by Chamberlain Tutors.

What NR-720 Week 6 asks for

A system with a medical-surgical length of stay problem had three credible things it could do with the same pool of money and executive attention. It could extend case management coverage into evenings and weekends, which addressed a well-documented discharge bottleneck. It could contract additional post-acute capacity, which addressed the Friday and holiday backlog that no amount of internal effort touched. Or it could build the discharge lounge and staff it, which released beds earlier in the day and helped throughput more than length of stay. All three were defensible. Only one could go first, because all three depended on the same operations leader and the same fiscal year, and the proposal that eventually succeeded was the one that said so on its first page instead of pretending the others did not exist.

That is what this stage tests. The written work is often an options analysis, an alternatives comparison, or a proposal that must consider alternatives before recommending. It sits late enough in the session that you have an environment read, a systems analysis, a cost build and a workforce position to bring to it, and the deliverable usually expects those threads to arrive together.

The technical requirement is that options be genuinely comparable. Two strong candidates and one obviously absurd alternative is a common pattern in weak papers and it is transparent to any reader who has sat on a committee. So is comparing options against criteria invented after the preferred answer was chosen. State the criteria first, weight them if the decision warrants it, and let the comparison run.

The doctoral requirement is that the criteria be defensible and evidence-linked. Effect on the outcome, time to effect, cost, feasibility given workforce and market conditions, risk, reversibility and equity implications are all legitimate. Say why these criteria for this decision, and cite the evidence behind any claim about how an option performs on one of them.

The NR-720 Week 6 method, step by step

Six moves for an options comparison that survives a committee.

  1. Generate options that address the constraint you identified

    Each candidate should plausibly move the thing your systems analysis named as the bottleneck. Options that improve something else are not alternatives; they are different projects, and including them makes the comparison meaningless.

  2. Set and justify the criteria before you evaluate anything

    Four to six criteria, each with a sentence on why it matters for this decision. Criteria chosen after the fact are visible in the writing, because they line up suspiciously well with one option's strengths.

  3. Score each option on evidence, not impression

    Where a criterion is measurable, use the measure and cite the source. Where it is a judgment, say it is a judgment and give the reasoning. A comparison table with unexplained ratings is decoration.

  4. Include doing nothing as a real option

    The status quo has a cost and it is the option that wins by default when nobody writes it down. Cost it in the same units as the others, because in some years it is genuinely the right answer.

  5. State the opportunity cost of the recommendation

    What the organization gives up by choosing this one: the other options deferred, the attention consumed, the capacity committed. This is the paragraph that most distinguishes executive writing from proposal writing.

  6. Name the conditions that would change the answer

    If the post-acute market tightens, if a vacancy is filled, if a payment arrangement changes, the ranking may invert. Saying so shows the reader how robust your recommendation is and tells them what to watch.

A layout and word budget for an options analysis

Our frame for this stage, sized for roughly 1,300 to 1,600 words with the scoring carried in a comparison table. This outline is ours rather than anything the university issues, and your week's rubric outranks it wherever the two disagree.

SectionWhat belongs in itWord target
The decision restatedWhat is being chosen between, at what scale, with the constraint the options must address.100 to 140
Criteria and justificationFour to six criteria, each with why it matters here, and any weighting with its reasoning.200 to 250
The options describedEach candidate in operational terms: what it involves, who does it, over what period.280 to 340
Comparison against criteriaHow each option performs, with sources for measurable criteria and reasoning for judgments.300 to 360
Recommendation and opportunity costThe choice, and what the organization forgoes by making it, stated plainly.200 to 250
Conditions that would change itThe two or three developments that would reorder the options, and what to monitor.140 to 180

Evidence craft for options analysis

Support each option's expected effect with its own evidence. Different alternatives usually rest on different literatures, and a comparison in which only the preferred option is cited tells the reader how the analysis was really conducted.

Report effects in the same units across options. If one option is described in bed days and another in patient experience scores, the comparison cannot be made. Convert to a common measure where possible and state the conversion, or compare within criteria rather than across them.

Cite decision methods if you use one. Weighted scoring, decision matrices and multi-criteria approaches are published methods. Naming the one you applied, with a source, makes the scoring assessable rather than arbitrary.

Give the status quo a real number. The cost of continuing as now, in the same units as the options, over the same period. Papers that treat doing nothing as costless have removed the strongest argument for acting.

Be explicit about equity effects. Options frequently differ in who benefits: which patients, which units, which shifts, which communities. Where an option concentrates benefit or burden unevenly, say so and support it, because that is a legitimate executive criterion and an increasingly expected one.

Five mistakes that cost points in this week's territory

  • Strawman alternatives. Two real options and one nobody would choose is a decision already made and dressed as an analysis.
  • Criteria written after the choice. A criteria list that maps exactly onto one option's strengths is visible to any experienced reader.
  • No status quo option. Leaving out doing nothing removes the baseline every executive decision is actually measured against.
  • Opportunity cost omitted. A recommendation that never says what is displaced has not engaged with the reason the decision is difficult.
  • A table with no reasoning. Scores without derivation cannot be argued with, which means they cannot be trusted either.

Before you submit

  • Every option plausibly addresses the constraint identified earlier
  • Criteria are stated and justified before any evaluation appears
  • Each option carries its own supporting evidence with sources
  • Doing nothing appears as a costed option
  • Effects are expressed in comparable units or compared within criteria
  • The recommendation states what the organization forgoes
  • Conditions that would reorder the options are named with what to monitor

Writing the options analysis for NR-720?

Send the rubric and your candidate options out of Canvas. A premium original draft comes back in 24 to 48 hours with criteria justified in advance, the status quo costed and the opportunity cost stated, and revisions run until the grade lands.

Questions students ask about this stage

How do I compare options when only one of them has good evidence behind it?
Say so explicitly and treat evidence strength as one of your criteria rather than as a reason to exclude the others. This situation is extremely common, because well-studied interventions tend to be the ones that fit research designs, and some of the most practical organizational options have almost no literature at all. Contracting additional post-acute capacity is unlikely to have a trial behind it; extending a specific care model may have several. The honest comparison notes that one option's expected effect is supported by published work in comparable settings while another rests on operational reasoning and local data, then weighs that difference openly. What you must not do is let the evidence base decide the recommendation silently, because that quietly biases every comparison toward the interventions academics happen to study rather than the ones your organization can actually execute.
Should I use a weighted scoring matrix?
Use one when the criteria genuinely differ in importance and you can defend the weights, and avoid it when it would manufacture precision. A weighted matrix has a real advantage in that it forces you to state relative importance in advance, which is exactly the discipline this stage is teaching, and it makes your reasoning visible enough for a reader to disagree with a specific weight rather than with the conclusion as a whole. The risk is that multiplying judgments by weights produces a total that looks objective and is not, and a reader who understands the method will simply ask how the weights were set. If you use one, show the weights with their justification, present the totals as an aid rather than as the decision, and write the recommendation in prose that would survive without the matrix. If the numbers and your judgment disagree, that discrepancy is worth a paragraph of its own.
Can I recommend a combination rather than a single option?
Yes, provided the combination is costed as a combination and sequenced, rather than used to avoid choosing. The legitimate version identifies that two options are complementary, shows that the resource and attention required for both is available or can be staged, and specifies the order with a reason: this one first because it is faster to stand up, releases capacity the second one needs, or proves the concept at lower cost. The illegitimate version recommends everything because each option had merits, which is the outcome an executive reader is most tired of receiving and the surest sign that the analysis did not confront the constraint. If you genuinely believe all three should proceed, the honest paper says which one goes first, what the second requires before it can start, and what the organization will stop doing to make room.

Keep going

Online now