The ability to prepare a cogent, succinct proposal is one of the most important managerial communications tools that the nurse-executive-leader can possess. In order to master this vital skill, you are being asked to prepare a proposal (or recommendation for a proposed course of action or decision) of between 4-6 pages, exclusive of any charts or graphs and inclusive of any executive summary. Numerous formats exist, starting with Microsoft Office suites and the venerable OWL. Indeed, a simple Google search of formats yields impressive results.

The assignment context is as follows: Review the MHS Case Study in Chapter 28 of the text. You will note there are a number of challenges and financial issues facing this facility. Assume you are making a presentation to the Finance Committee of the governing board, along with representation from the medical staff and unions representing professional staff. Select any three issues, programs or areas in need of improvement @ MHS, specifically as they relate to its efficiency, financial solvency and long term profitability. You are entirely free to create any reasonable assumptions you require to support your recommendations, so long as they do not directly contradict the Case Study.

For each of the three issues, please lay out the better options or courses of action available to solve this issue, identify sources of research or evidence considered, select the best (optimal, least worse) course of action and justify its selection and conclude with feedback and implementation concrete steps to ensure your plan is workable. Strive to be realistic, reasonable and persuasive. As this is a finance course, the focus of your recommendations and of my evaluation should be on sound fiscal metrics and plausible financial data, preferably clearly presented to support your goals.