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1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com
August 31, 2014
Hospital Administrator
ABC Regional Hospital
1234 Medical Center Dr.
Anywhere, NC 28394
Dear Sir,
Please find below my proposal for improving employee motivation and moral to increase patient
safety and quality of care.
Summary: Employee motivation and morale has a profound effect on any organizations
productivity and quality of work. In the healthcare industry, low productivity and work quality
leads to poor patient satisfaction, an increase in adverse patient safety events, costly litigation,
increased malpractice insurance premiums, and lost revenue due to decreased patient enrollment.
ABC Regional is no exception. After several recent adverse patient safety events, and the less
than perfect results from the recent Joint Commission survey, it is apparent that there are some
issues with the quality of care in the hospital. Recent employee surveys, and town hall meetings,
have brought to light that low employee motivation and morale may be a major contributing
factor. There is a need to address this issue now to improve our quality of care and enhance the
future of our organization.
Introduction
Purpose: The implementation of programs to improve employee motivation and moral will lead
to better quality care and higher patient safety and satisfaction. Increased patient safety and
satisfaction will have positive financial gains for the hospital through higher revenue from
increased patient enrollment, and less money spent on litigation and malpractice insurance. This
project will demonstrate that instituting programs to improve employee motivation and morale
will save the hospital money, improve our image within the community, and ultimately lead to
higher revenue.
Scope: Various methods will be used to conduct the research necessary for this report. These
methods will include:
 The use of articles queried from the University of Maryland University College’s
(UMUC) online library, as well as other online sources;
 Interviews with healthcare and administrative personnel at ABC Regional Hospital;
 Surveys of healthcare and administrative personnel at ABC Regional Hospital.
I plan to spend two to three hours per day for a two week period from September 1 to September
14, 2014 conducting the research and finalizing the report. The survey will be conducted via
email through the hospital distribution list and will take approximately fifteen to twenty minutes
to complete. Personnel will be able to complete the survey at their convenience until the
1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com
September 10, 2014 deadline. Survey questions will address current job satisfaction and will
give personnel the opportunity to rate and give feedback on proposed programs. The results of
the survey questions will be summarized in the report. Eight interviews will be conducted to
include two providers, two nurses, two medical support staff, and two administrative staff.
Interviews will be conducted both face to face, and through email. Each interview will take
twenty to thirty minutes to complete. Face to face interviews will be scheduled at times that will
least impact patient care. Department supervisors will be notified in advance with the name of
the employee participating in the interview and the date and time the interview will be
conducted. Email interview questions will be used for staff that is unable to set aside time for
face to face interviews due to high work volumes, these questions can be completed at their
convenience prior to the September 10, 2014 deadline.
Discussion
Outline/Methodology:
 Online and library research conducted to collect information on:
o Impact of low employee motivation and morale on healthcare;
o Possible methods to improve employee motivation and morale;
o Advantages and disadvantages of each method for employees, employer, and
patients;
o Basic requirements and resources needed for each program;
o Technical considerations;
o Cost-benefit analysis;
o Impacts any of these methods have had on other healthcare organizations;
o Disadvantages of not instituting programs to improve motivation and morale.
 Survey
o Current job satisfaction;
o Compassion fatigue;
o Rate possible programs and provide feedback.
 Interview
o Two providers;
o Two nurses;
o Two medical support staff;
o Two administrative staff
 Review and analyze all literature, surveys, and interviews
 Write analytical report based on research
Conclusion and Recommendations:
My report will evaluate various possible methods and programs to improve employee motivation
and morale. I will use the research to determine which programs will be the most beneficial
based on a cost-benefit analysis and give recommendations along with a strategic
implementation plan.
1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com
Timetable:
Prepare research proposal August 31, 2014
Complete online research September 7, 2014
Complete surveys September 10, 2014
Complete interviews September 10, 2014
Complete analysis September 12, 2014
Complete final report September 14, 2014
I will be glad to answer any questions or provide further clarification of any of the details for this
project.
Thank you for your consideration.
Sincerely,
Steve Gubenia
Encl: Reference List
8/25/2014 8/30/2014 9/4/2014 9/9/2014 9/14/2014 9/19/2014
Prepare research proposal
Complete online research
Complete surveys
Complete interviews
Complete analysis
Complete final report
1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com
References
Bailey, L. (2009, February 20). High hospital morale translates to happy patients. The University
Record Online. Retrieved August 31, 2014, from
http://www.ur.umich.edu/0809/Feb16_09/18.php
Bowden, D. E., Fry, L., Powell, D.R., Rosene, P.M., & Shewanown, M. (2010). Do Wellness
Programs Really Work? Benefits & Compensation Digest, 47(9), 20-24.
Cowart, L. (2014). Why Employee Morale Matters--Especially Now: The solution to
engagement and retention issues is the ability of the manager to truly understand what is
in the hearts and minds of their employees. Public Manager, 43(1), 44-47.
Dahl, Andy, Mulhurn, Frank, Peltier, Jimmy. (2009). The Relationship Between Employee
Satisfaction and Hospital Patient Experiences. FORUM For People Performance
Management and Measurement. Retrieved August 31, 2014, from
http://www.marketing.org/files/Hospital%20Study%20-
Relationship%20Btwn%20Emp_%20Satisfaction%20and%20Pt_%20Experiences.pdf
Enrado, P. (2009, December 9). Healthcare employers battle low employee morale. Healthcare
Finance News. Retrieved August 31, 2014, from
http://www.healthcarefinancenews.com/news/healthcare-employers-battle-low-
employee-morale
Iverson, R. D., & Zatzick, C. D. (2011). The effects of downsizing on labor productivity: The
value of showing consideration for employees’ morale and welfare in high-performance
work systems. Human Resource Management, 50(1), 29-44. doi:10.1002/hrm.20407
Lee, D. (2009, March 30). ARTICLES & REPORTS. Improving Employee Morale and
Motivation in Difficult Times. Retrieved August 31, 2014, from
http://www.humannatureatwork.com/articles/employee_morale/employee-morale-
article-4.htm
Lockton Shares 10 Tips for Improving Healthcare Employee Safety & Morale. (2012).
Professional Safety, 57(4), 23.
McGilton, K. S., Boscart, V. M., Brown, M., & Bowers, B. (2014). Making tradeoffs between
the reasons to leave and reasons to stay employed in long-term care homes: Perspectives
of licensed nursing staff. International Journal Of Nursing Studies, 51(6), 917-926.
doi:10.1016/j.ijnurstu.2013.10.015
1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com
Mosadeghrad, Ali. (2014). Strategic collaborative quality management and employee job
satisfaction. International Journal of Health Policy and Management. 2(4). 167-175.
doi:10.15171/ijhpm.2014.38
Powers, J. (2013, December 26). 10 inexpensive ways to boost employee morale. Ragan.com.
Retrieved August 30, 2014, from
http://www.ragan.com/Main/Articles/10_inexpensive_ways_to_boost_employee_morale
_43589.aspx
Stapleton, P., Henderson, A., Creedy, D. K., Cooke, M., Patterson, E., Alexander, H., et al.
(2007). Boosting morale and improving performance in the nursing setting. Journal of
Nursing Management. 15(6):811-6. Retrieved August 31, 2014, from
http://www.ncbi.nlm.nih.gov/pubmed/17944606
White, P. E. (2012). Unhappy? Low Morale? Try The 5 Languages of Appreciation in the
Workplace. Journal of Christian Nursing, 29(3), 144-149.
doi:10.1097/CNJ.0b013e318256c587

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Proposal

  • 1. 1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com August 31, 2014 Hospital Administrator ABC Regional Hospital 1234 Medical Center Dr. Anywhere, NC 28394 Dear Sir, Please find below my proposal for improving employee motivation and moral to increase patient safety and quality of care. Summary: Employee motivation and morale has a profound effect on any organizations productivity and quality of work. In the healthcare industry, low productivity and work quality leads to poor patient satisfaction, an increase in adverse patient safety events, costly litigation, increased malpractice insurance premiums, and lost revenue due to decreased patient enrollment. ABC Regional is no exception. After several recent adverse patient safety events, and the less than perfect results from the recent Joint Commission survey, it is apparent that there are some issues with the quality of care in the hospital. Recent employee surveys, and town hall meetings, have brought to light that low employee motivation and morale may be a major contributing factor. There is a need to address this issue now to improve our quality of care and enhance the future of our organization. Introduction Purpose: The implementation of programs to improve employee motivation and moral will lead to better quality care and higher patient safety and satisfaction. Increased patient safety and satisfaction will have positive financial gains for the hospital through higher revenue from increased patient enrollment, and less money spent on litigation and malpractice insurance. This project will demonstrate that instituting programs to improve employee motivation and morale will save the hospital money, improve our image within the community, and ultimately lead to higher revenue. Scope: Various methods will be used to conduct the research necessary for this report. These methods will include:  The use of articles queried from the University of Maryland University College’s (UMUC) online library, as well as other online sources;  Interviews with healthcare and administrative personnel at ABC Regional Hospital;  Surveys of healthcare and administrative personnel at ABC Regional Hospital. I plan to spend two to three hours per day for a two week period from September 1 to September 14, 2014 conducting the research and finalizing the report. The survey will be conducted via email through the hospital distribution list and will take approximately fifteen to twenty minutes to complete. Personnel will be able to complete the survey at their convenience until the
  • 2. 1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com September 10, 2014 deadline. Survey questions will address current job satisfaction and will give personnel the opportunity to rate and give feedback on proposed programs. The results of the survey questions will be summarized in the report. Eight interviews will be conducted to include two providers, two nurses, two medical support staff, and two administrative staff. Interviews will be conducted both face to face, and through email. Each interview will take twenty to thirty minutes to complete. Face to face interviews will be scheduled at times that will least impact patient care. Department supervisors will be notified in advance with the name of the employee participating in the interview and the date and time the interview will be conducted. Email interview questions will be used for staff that is unable to set aside time for face to face interviews due to high work volumes, these questions can be completed at their convenience prior to the September 10, 2014 deadline. Discussion Outline/Methodology:  Online and library research conducted to collect information on: o Impact of low employee motivation and morale on healthcare; o Possible methods to improve employee motivation and morale; o Advantages and disadvantages of each method for employees, employer, and patients; o Basic requirements and resources needed for each program; o Technical considerations; o Cost-benefit analysis; o Impacts any of these methods have had on other healthcare organizations; o Disadvantages of not instituting programs to improve motivation and morale.  Survey o Current job satisfaction; o Compassion fatigue; o Rate possible programs and provide feedback.  Interview o Two providers; o Two nurses; o Two medical support staff; o Two administrative staff  Review and analyze all literature, surveys, and interviews  Write analytical report based on research Conclusion and Recommendations: My report will evaluate various possible methods and programs to improve employee motivation and morale. I will use the research to determine which programs will be the most beneficial based on a cost-benefit analysis and give recommendations along with a strategic implementation plan.
  • 3. 1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com Timetable: Prepare research proposal August 31, 2014 Complete online research September 7, 2014 Complete surveys September 10, 2014 Complete interviews September 10, 2014 Complete analysis September 12, 2014 Complete final report September 14, 2014 I will be glad to answer any questions or provide further clarification of any of the details for this project. Thank you for your consideration. Sincerely, Steve Gubenia Encl: Reference List 8/25/2014 8/30/2014 9/4/2014 9/9/2014 9/14/2014 9/19/2014 Prepare research proposal Complete online research Complete surveys Complete interviews Complete analysis Complete final report
  • 4. 1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com References Bailey, L. (2009, February 20). High hospital morale translates to happy patients. The University Record Online. Retrieved August 31, 2014, from http://www.ur.umich.edu/0809/Feb16_09/18.php Bowden, D. E., Fry, L., Powell, D.R., Rosene, P.M., & Shewanown, M. (2010). Do Wellness Programs Really Work? Benefits & Compensation Digest, 47(9), 20-24. Cowart, L. (2014). Why Employee Morale Matters--Especially Now: The solution to engagement and retention issues is the ability of the manager to truly understand what is in the hearts and minds of their employees. Public Manager, 43(1), 44-47. Dahl, Andy, Mulhurn, Frank, Peltier, Jimmy. (2009). The Relationship Between Employee Satisfaction and Hospital Patient Experiences. FORUM For People Performance Management and Measurement. Retrieved August 31, 2014, from http://www.marketing.org/files/Hospital%20Study%20- Relationship%20Btwn%20Emp_%20Satisfaction%20and%20Pt_%20Experiences.pdf Enrado, P. (2009, December 9). Healthcare employers battle low employee morale. Healthcare Finance News. Retrieved August 31, 2014, from http://www.healthcarefinancenews.com/news/healthcare-employers-battle-low- employee-morale Iverson, R. D., & Zatzick, C. D. (2011). The effects of downsizing on labor productivity: The value of showing consideration for employees’ morale and welfare in high-performance work systems. Human Resource Management, 50(1), 29-44. doi:10.1002/hrm.20407 Lee, D. (2009, March 30). ARTICLES & REPORTS. Improving Employee Morale and Motivation in Difficult Times. Retrieved August 31, 2014, from http://www.humannatureatwork.com/articles/employee_morale/employee-morale- article-4.htm Lockton Shares 10 Tips for Improving Healthcare Employee Safety & Morale. (2012). Professional Safety, 57(4), 23. McGilton, K. S., Boscart, V. M., Brown, M., & Bowers, B. (2014). Making tradeoffs between the reasons to leave and reasons to stay employed in long-term care homes: Perspectives of licensed nursing staff. International Journal Of Nursing Studies, 51(6), 917-926. doi:10.1016/j.ijnurstu.2013.10.015
  • 5. 1234 Medical Center Dr. Anywhere, NC 28394 www.abcregional.com Mosadeghrad, Ali. (2014). Strategic collaborative quality management and employee job satisfaction. International Journal of Health Policy and Management. 2(4). 167-175. doi:10.15171/ijhpm.2014.38 Powers, J. (2013, December 26). 10 inexpensive ways to boost employee morale. Ragan.com. Retrieved August 30, 2014, from http://www.ragan.com/Main/Articles/10_inexpensive_ways_to_boost_employee_morale _43589.aspx Stapleton, P., Henderson, A., Creedy, D. K., Cooke, M., Patterson, E., Alexander, H., et al. (2007). Boosting morale and improving performance in the nursing setting. Journal of Nursing Management. 15(6):811-6. Retrieved August 31, 2014, from http://www.ncbi.nlm.nih.gov/pubmed/17944606 White, P. E. (2012). Unhappy? Low Morale? Try The 5 Languages of Appreciation in the Workplace. Journal of Christian Nursing, 29(3), 144-149. doi:10.1097/CNJ.0b013e318256c587