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Renfrey Memorial Hospital (RMH) is a 200 bed regional hospital
located in the Midwest. It has been in existence for 32 years and was
named after a prominent philanthropist in the area, Mr. Gilbert H.
Renfrey, who made many financial contributions to projects in and
around the community where Renfrey Memorial Hospital is located. The
hospital maintains the only 24 hour emergency department in the area,
as well as an "extended hours" urgent care clinic. The hospital is
encountering a problem with nursing staff retention. Sixty-eight percent
of the nursing staff is over the age of 45, and facing retirement. The
hospital commissioned a survey that revealed many of the nursing staff
finds the work too physically demanding and many are feeling physically
exhausted and report emotional burn out as well. Several of the survey
respondents report they are stressed to the breaking point caring for
aging parents in addition to working at Renfrey. In the past two years,
the hospital has seen an exodus of nurses. The hospital has been forced
to use temporary pool nurses from an agency. This has driven up
personnel costs and also resulted in decreased rankings on patient

2. satisfaction surveys. In addition, the nursing shortage is making it
difficult to recruit replacement nurses for the staff who plans on retiring
within the next couple of years. Renfrey Memorial Hospital faces
significant staffing challenges 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.
For your final course project, you will create a 10 -15 page proposal for
the Renfrey Memorial Hospital Board of Directors. In your proposal,
you will:
Include an executive summary
Research and identify solutions implemented at five other hospitals in
the US that were dealing with these same issues (benchmarking).
Based on your research, identify two solutions that are the most viable
for Renfrey Memorial Hospital to implement within the next two years.
Present an analysis of the two solutions that you have selected in terms
of at least 5 stakeholder groups involved (e.g. patients, hospital
administration, accounting, H.R., marketing, third-party payers, etc.)
Who is impacted? What change processes may be required? What fiscal
impact would occur?
Make a recommendation with detailed justification and research
support, on the single solution that you feel is best for RMH. Explain
why you feel it is the best and most viable solution given the financial
impact, HR issues, interpersonal dynamics of hospital personnel,
cultural shift, and change management.
Utilize 10 -12 reference sources written within the last 5 years to
prepare your board proposal.
Writing the Final Paper
Must be ten- to fifteen- double-spaced pages in length and formatted
according to APA style as outlined in the approved APA style guide.
Must include a cover page that includes:
Title of paper
Student’s name

3. Course name and number
Instructor’s name
Date submitted
Must include an introductory paragraph with a succinct thesis
statement. Must address the topic of the paper with critical thought.
Must conclude with a restatement of the thesis and a conclusion
paragraph. Must use at least ten resources, including a minimum of five
from ProQuest. Must use APA style as outlined in the approved APA
style guide to document all sources. Must include, on the final page, a
Reference Page that is completed according to APA style as outlined in
the approved APA style guide.