Ashford General Hospital is a 263-bed regional hospital located in
California, serving its community for more than 50 years. The hospital
maintains the only 24-hour emergency department in the area and an
"extended hours" urgent care clinic. Similar to other hospitals in the
United States, Ashford General Hospital is encountering a nursing
shortage. Sixty-eight percent of the nursing staff is over the age of
45, facing retirement. The retention rate on nurses is 61%, compared to
65% nationwide. Many of the nursing staff find the work too physically
demanding and have a feeling of emotional burn-out as well. In the
past two years, the hospital has used both per diem nurses and traveling
nurses who sign short-term contracts to fill individual shifts and
accommodate short-term staffing needs arising from staff vacations or
medical leaves. This has not only driven up personnel costs but also
resulted in lower scores on patient satisfaction surveys. Ashford
General Hospital faces significant challenges in nurse staffing ahead as
it grapples with these issues, and the hospital board is very
concerned. They know there must be some changes made in order to prevent
a major financial and human resources crisis in the future. As the
newly hired CEO, you are asked to present a proposal in the next board
For your Final Paper, you will create a 10 to 15 page proposal
(excluding title and reference pages) for the Ashford General Hospital
Board of Directors. In your proposal, you will:
Include an executive summary.
Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
Based on your research, describe two solutions that are the most
viable for Ashford General Hospital to implement within the next two
Create a total of two stakeholder group analyses for two
solutions you select. Each analysis should include at least five
stakeholder groups involved (e.g. patients, hospital executive
administration, accounting, Human Resources (HR), marketing, third-party
payers, etc.). As part of your analysis, address the following
Who is impacted?
What change processes may be required?
What fiscal impact would occur?
What are the ethical, legal, and diversity risk factors involved?
Based upon the stakeholder group analyses, recommend the best
solution for Ashford General Hospital with detailed justification.
Explain why you feel it is the most viable and appropriate solution
given the financial impact, HR issues, and interpersonal dynamics of
hospital personnel, cultural shift, and change management.
To prepare your board proposal, including the textbook, utilize
at least 10-to-12 scholarly and/or peer-reviewed sources that were
published within the past five years, as well as hospital or foundation
websites. All sources must be cited according to APA style.
Writing the Final Paper
The Final Paper:
Must be 10-to-15 double-spaced pages (excluding title page and
references page) in length, and formatted according to APA style.
Must include a title page with the following:
Title of paper
Course name and number
Must include an executive summary.
Must begin with an introductory paragraph that has a succinct thesis statement.
Must address the topic of the paper with critical thought.
Must end with a conclusion that reaffirms your thesis.
Including the textbook, must utilize a minimum of 10 to 12
scholarly and/or peer-reviewed sources that were published within the
past five years, as well as hospital or foundation websites. Must
document all sources in APA style.
Must document all sources in APA style.
Must include a separate reference page, formatted according to APA style