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.
