Read and examine the case thoroughly, Identify two to five key problems and answer: Why do they exist? How do they impact the organization? Who is responsible for them? after that outline three possible alternatives and explain why alternatives were rejected, constraints/ reasons, or why are alternatives not possible at this time. Finally, provide one specific and realistic solution, explain why this solution was chosen, and support this solution with solid evidence. Determinate and discuss specific strategies for accomplishing the proposed solution. Recommend further actions to resolve some of the issues: What would be done and who should do it?

Please conduct different references.

Case:

County General Hospital

County General Hospital is a 200bed facility located approximately 150 miles outside Chicago. It is a regional hospital that draws patients from surrounding farm communities. Like most hospitals, County General Hospital faces the difficult task of providing quality care at a reasonable cost.

One of the most difficult obstacles encountered by the hospital is finding and retaining qualified nurses. The annual turnover rate among nurses is nearly 100 percent. A few of the nurses are longterm employees who are either committed to County General Hospital or attached to the community. Employment patterns suggest that many of the nurses who are hired stay for only about six months. In fact, County General Hospital often appears to be a quick stop between graduation from college and a better job.

Many who leave acknowledge that they were contacted by another hospital that offered them more money. Exit interviews with nurses who are leaving similarly suggest that low pay is a concern. Another concern is the lack of social atmosphere for young nurses. Nurses just finishing college complain that the community does not provide them enough opportunity to meet and socialize with others their age.

Hospital administrators are afraid that paying higher wages will cause financial disaster. Big insurance companies and Medicaid make it difficult for them to increase the amount they charge patients. However, the lack of stability in the nursing staff has caused some noticeable problems. Nurses sometimes appear to be ignorant of important hospital procedures. Doctors also complain that they spend a great deal of time training nurses to perform procedures, only to see those nurses take their new skills someplace else.