Table 4.

The Basics of a Business Case.41

Section Heading Description
1. Executive Overview A brief synopsis (usually one to two pages) that captures the proposal’s purpose, central recommendations, and most important conclusions.
2. Background and Context Establishes the organizational setting, explains the current circumstances, outlines the challenge or opportunity, and introduces the proposed direction.
3. Foundational Logic and Key Assumptions Specifies the guiding conditions and justifications for the proposal—such as staffing needs, regulatory influences, marketplace trends, or financial drivers.
4. Project Outline and Objectives Provides a thorough summary of the initiative, defining its aims, scope, required resources, timeline, responsible personnel, indicators of success, and projected results.
5. Fiscal Analysis and Budget Review Describes the financial dimension of the proposal, including estimated expenses, anticipated savings or revenue, ROI calculations, and fiscal assumptions. May feature models or projections.
6. Anticipated Benefits and Organizational Value Explains the expected gains—both measurable and intangible—such as improved performance, innovation, efficiency, or team engagement.
7. Implementation Timeline and Key Milestones Lays out the schedule for execution, identifying major phases, benchmarks, and deliverables. Communication or rollout plans may be integrated here.
8. Risk Evaluation and Backup Strategies Identifies possible obstacles or uncertainties and defines how these will be addressed to ensure continued progress. May include scenario or dependency analyses.
9. Summary Conclusions and Action Guidance Consolidates the major findings and provides a clear statement of why the initiative should move forward.
10 Supporting Documentation Contains additional materials—financial data, detailed analyses, or references—that reinforce the main content of the proposal.

ROI, return on investment.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2026; 17(1): e0004. ISSN: 2076-9172
Published online 2025 December 15. doi: 10.5041/RMMJ.10561