Ashford General Hospital Proposal

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
    • Student?s name
    • Course name and number
    • Instructor?s name
    • Date submitted
  • 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

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