ane Seers is the administrator of the Sunrise Assisted Living Center in Atlanta, Georgia. Two years ago she brought her board members, medical staff, and top management team together to develop a new strategic plan for the organization. The new plan identified a series of goals and objectives in the areas of marketing, finance and information systems. In addition, the organization set a goal of annual growth in resident census of 10%. The strategic planning group assumed human resources would be available to implement the plan as needed. Now Jane has discovered that Sunset has not been able to recruit and retain adequate numbers of nurses and other allied health personnel needed to implement the strategic plan. Overall employee turnover averaged 22 percent per year in the last three years. She will now have to report to the board that the patient census goals have not been reached because of her organization's inability to adequately staff the growth of the facility