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 meeting. 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 years. 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 questions: 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 as outlined in the Ashford Writing Center. . 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 as outlined in the Ashford Writing Center. 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, as outlined in the Ashford Writing Center. Must document all sources in APA style, as outlined in the Ashford Writing Center. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center. Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment. Executive Summary Total: 2.00 Distinguished – Provides a clear executive summary that includes the main idea and relevant supporting details. The summary is presented in a thorough, organized, and logical order. Proficient – Provides an executive summary that includes the main idea and supporting details. The summary is presented in a mostly logical order. Minor details are missing or unclear. Basic – Provides a somewhat clear executive summary that minimally includes the main idea and some supporting details. The summary is presented in a somewhat logical order. Relevant details are missing or unclear. Below Expectations – Provides an executive summary; however, the summary does not include the main idea or supporting details, is presented in an illogical order and/or significant details are missing. Non-Performance – The executive summary is either non-existent or lacks the components described in the assignment instructions. Organization: Introduction, Thesis Statement, and Conclusion Total: 0.80 Distinguished – Paper is logically organized with a well-written introduction, thesis statement, and conclusion. Proficient – Paper is logically organized with an introduction, thesis statement, and conclusion. One of these requires improvement. Basic – Paper is organized with an introduction, thesis statement, and conclusion. One or more of the introduction, thesis statement, and/or conclusion require improvement. Below Expectations – Paper is loosely organized with an introduction, thesis statement, and conclusion. The introduction, thesis statement, and/or conclusion require much improvement. Non-Performance – The introduction, thesis statement, and conclusion are either nonexistent or lack the components described in the assignment instructions. Researches and Describes Solutions Implemented at Five Other Hospitals Total: 3.00 Distinguished – Researches and thoroughly describes solutions implemented at five other hospitals in the U.S. that were dealing with these same issues. Proficient – Researches and describes solutions implemented at five other hospitals in the U.S. that were dealing with these same issues. The description is slightly underdeveloped. Basic – Researches and partially describes solutions implemented at five other hospitals in the U.S. that were dealing with these same issues. The description is underdeveloped. Below Expectations – Researches and attempts to describe solutions implemented at five other hospitals in the U.S. that were dealing with these same issues; however, the description is significantly underdeveloped. Non-Performance – The description is either non-existent or lacks the components described in the assignment instructions. Describes Two Viable Solutions for Ashford General Hospital Total: 3.00 Distinguished – Thoroughly describes two solutions that are the most viable for Ashford General Hospital to implement within the next two years. Proficient – Describes two solutions that are the most viable for Ashford General Hospital to implement within the next two years. The description is slightly underdeveloped. Basic – Partially describes two solutions that are the most viable for Ashford General Hospital to implement within the next two years. The description is underdeveloped. Below Expectations – Attempts to describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years; however, the description is significantly underdeveloped. Non-Performance – The description is either non-existent or lacks the components described in the assignment instructions. Creates Two Stakeholder Group Analyses for Two Selected Solutions Total: 9.00 Distinguished – Creates two thorough stakeholder group analyses, including at least five stakeholder groups for each selected solution. Proficient – Creates two stakeholder group analyses, including five stakeholder groups for each selected solution. At least one analysis is slightly underdeveloped. Basic – Creates two limited stakeholder group analyses, including five stakeholder groups for each selected solution. At least one analysis is underdeveloped. Below Expectations – Attempts to create two stakeholder group analyses; however, does not include at least five stakeholder groups for each solution and/or the analyses are significantly underdeveloped. Non-Performance – The creation of two stakeholder group analyses for two selected solutions is either nonexistent or lacks the components described in the assignment instructions. Recommends the Best Solution for Ashford General Hospital Total: 3.00 Distinguished – Recommends a fully relevant solution with a detailed justification that thoroughly explains why it is the best and most viable solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management. Proficient – Recommends a relevant solution with a justification that explains why it is the best and most viable solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management. Minor details are missing or inaccurate. Basic – Recommends a somewhat relevant solution with a limited justification that partially explains why it is the best and most viable solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management. Relevant details are missing or inaccurate. Below Expectations – Attempts to recommend solution with a justification that explains why it is the best and most viable solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management; however, the solution is not relevant and/or significant details are missing or inaccurate. Non-Performance – The recommendation is either nonexistent or lacks the components described in the assignment instructions. Critical Thinking: Influence of Context and Assumptions Total: 1.30 Distinguished – Clearly evaluates own and others’ assumptions and carefully determines the relevance of contexts when presenting a position. Proficient – Evaluates own and others’ assumptions and determines the relevance of contexts when presenting a position. Basic – Evaluates many assumptions and identifies the importance of contexts when presenting a position. Below Expectations – Evaluates some assumptions, although the evaluation is incomplete. May inadequately identify the importance of contexts when presenting a position. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Integrative Learning: Connections to Discipline Total: 1.30 Distinguished – Autonomously synthesizes or draws conclusions by combining examples, facts, or theories from multiple disciplines. Proficient – Autonomously correlates examples, facts, or theories from multiple disciplines. Basic – Attempts to correlate examples, facts, or theories from multiple disciplines. Below Expectations – Displays inconsistent examples, facts, or theories from multiple disciplines. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Control of Syntax and Mechanics Total: 0.60 Distinguished – Displays meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains no errors and is very easy to understand. Proficient – Displays comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains only a few minor errors and is mostly easy to understand. Basic – Displays basic comprehension of syntax and mechanics, such as spelling and grammar. Written work contains a few errors which may slightly distract the reader. Below Expectations – Fails to display basic comprehension of syntax or mechanics, such as spelling and grammar. Written work contains major errors which distract the reader. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: APA Formatting Total: 0.60 Distinguished – Accurately uses APA formatting consistently throughout the paper, title page, and reference page. Proficient – Exhibits APA formatting throughout the paper. However, layout contains a few minor errors. Basic – Exhibits limited knowledge of APA formatting throughout the paper. However, layout does not meet all APA requirements. Below Expectations – Fails to exhibit basic knowledge of APA formatting. There are frequent errors, making the layout difficult to distinguish as APA. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Page Requirement Total: 0.60 Distinguished – The length of the paper is equivalent to the required number of correctly formatted pages. Proficient – The length of the paper is nearly equivalent to the required number of correctly formatted pages. Basic – The length of the paper is equivalent to at least three quarters of the required number of correctly formatted pages. Below Expectations – The length of the paper is equivalent to at least one half of the required number of correctly formatted pages. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Written Communication: Resource Requirement Total: 0.80 Distinguished – Uses more than the required number of scholarly sources, providing compelling evidence to support ideas. All sources on the reference page are used and cited correctly within the body of the assignment. Proficient – Uses the required number of scholarly sources to support ideas. All sources on the reference page are used and cited correctly within the body of the assignment. Basic – Uses less than the required number of sources to support ideas. Some sources may not be scholarly. Most sources on the reference page are used within the body of the assignment. Citations may not be formatted correctly. Below Expectations – Uses an inadequate number of sources that provide little or no support for ideas. Sources used may not be scholarly. Most sources on the reference page are not used within the body of the assignment. Citations are not formatted correctly. Non-Performance – The assignment is either nonexistent or lacks the components described in the instructions. Steps to writing a summary (n.d.). Retrieved from www.mrshatzi.com/files/summary.pdf.
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