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Renfrey Memorial Hospital Outline

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 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.

1. Write a proposal for the Renfrey Memorial Hospital Board of Directors. In your proposal, you will:

a) Include an executive summary
b) Identify solutions implemented at five other hospitals in the US that were dealing with these same issues (benchmarking).
c) Based on your research, identify two solutions that are the most viable for Renfrey Memorial Hospital to implement within the next two years.
d) 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?
e) 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.

Solution Preview

Proposal for Health Care Problem

Executive Summary

The Report describes a proposal for the Renfrey Memorial Hospital Board of Directors with regard to the health care problems. RMH located in Midwest in US, is facing a problem of lack of nursing staff. It used various strategies, such as increased remuneration, provided good working environment and invested in technology to deal with this problem and retain nursing staff. The report identifies the strategies used by several others hospitals in US and among them two viable solutions are selected for RMH. Then an analysis of the selected solutions is done in terms of stakeholders groups involved and the one who are affected. In the end, best solution concerning the problem is discussed along with its impact on RHM.

Proposal for Nursing Shortage


Renfrey Memorial Hospital (RHM) has faced staffing problem in the Midwest. Due to the retirement of the nursing staff in the past two years, RHM is facing problem of shortage of nursing staff. This also affects its financial position and market condition because of lack of sufficient human resources. This paper describes a solution for lack of nursing staff problem on the Renfrey Memorial Hospital. This proposal is helpful for the Board of Directors of Renfrey Memorial Hospital for resolving the issue in next two year.

Thesis Statement:

The key purpose of this proposal could also be understood with thesis statement:

"The success of a Renfrey Memorial Hospital depends on its nursing staff and it is essential to deal with the staffing issue as without this it would not be able to offer effective medical services and maintain its position."

Solution Implemented by others Hospitals

AMN Healthcare: Nowadays in US, most of the hospitals confront issue of workforce shortage. Finding the right candidates to fill clinical roles was also challenging for AMN healthcare so, it developed a unique Recruitment Process Outsourcing (RPO) program to solve these problem (AMN Healthcare, 2012). RPO program considers the entire process of recruitment, hiring and on-boarding. In this program, human resources department and hiring managers' work as a one team and it is focused on fulfilling the AMN needs.

Fresenius Medical Care North America (FMCNA): It held recruitment for the Nursing staff from other countries to deal with staffing challenges. As well, the hospital board of FMCNA also focused on the dialysis and a determination cases, in central hospital and the 2,000 branches ...

Solution Summary

In 1,620 words, this solution provides an executive summary for Renfrey Memorial Hospital, and provides specific examples of other hospitals dealing with the same issues. Solutions are discussed to combat this problem, including an analysis of the affect this will have on stakeholders. Finally, a recommendation is provided for the hospital.