Case Study: Cramton Memorial Hospital is a 225 bed regional hospital located on the East Coast. It has been in existence for 26 years and was named after a prominent philanthropist in the area who made many financial contributions to projects in and around the community where the hospital is located. The hospital maintains the only 24-hour emergency department in the area, as well as an urgent care clinic. The hospital is encountering a problem with nursing staff retention. Nearly 60% of the nursing staff is over the age of 45 and facing retirement. The hospital conducted a survey that revealed much 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 the hospital. 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 has resulted in decreased rankings in regards to patient satisfaction survey scores. The nursing shortage is making it difficult to recruit replacement nurses for the staff who plan on retiring within the next couple of years. Cramton Memorial Hospital faces significant staffing challenges ahead. Naturally 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 Paper, you will create a proposal (8 page minimum not including the title and reference pages) for the Cramton Memorial Hospital Board of Directors. The written paper is to be prepared in accordance with the following guidelines and must contain all of the following components:
•    TITLE PAGE (Follow APA guidelines)
•    ABSTRACT- Limit the abstract to 150 words. Do not repeat the title at the beginning of the abstract and do not cite references in it. Avoid abbreviations. Include the purpose of the article, main findings, and principle conclusions. Although the abstract is at the beginning of the paper, it is often easier to write the paper and then go back and write your abstract.
•    TABLE OF CONTENT
•    INTRODUCTION (overview of the topic – usually one to two paragraphs)
•    REVIEW OF LITERATURE – Research and identify solutions implemented at other hospitals in the US that were dealing with these same issues. Reference citations must be present within the body of the paper and should be included for all information obtained from an outside source. All reference citations should have a corresponding full reference listed on the reference page.
•    DISCUSSION – Based on your research, identify two solutions that are the most viable for Cramton Memorial Hospital to implement within the next two years.

•    CONCLUSIONS – Based on information in discussion present an analysis of the two solutions that you have selected in terms of at least three stakeholder groups involved (e.g. patients, hospital administration, accounting, HR, marketing, third-party payers, etc.). Who is impacted? What change processes may be required? What fiscal impact would occur?

•    RECOMMENDATIONS – Make a recommendation, with detailed justification and research support, on the single solution that you feel is best for Cramton Memorial Hospital. 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.

•    REFERENCES: responsible for the accuracy and completeness of references and must follow the APA guidelines for citations. ***Please note: Papers must include headings for each of the sections listed above. Headings should centered and capitalized. You can  review a tutorial on APA 6th edition at the following link: http://www.apastyle.org/learn/tutorials/basics-tutorial.aspx
o    In order to add depth to your paper, I fully anticipate using supplemental references (journal articles, web sources, and books) in addition to the text book. A minimum of 5 scholarly references required.

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