Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Dr. Miriam Ross

Abstract

AbstractThe Centers for Medicare and Medicaid Services (CMS) have implemented financial penalties to reduce hospital readmissions for various conditions, including chronic obstructive pulmonary disease (COPD). As a result, hospital administrators explore ways to prevent financial penalties for excessive COPD 30-day hospital readmissions. The purpose of this quantitative study was to determine if there was a correlation between hospital Medicare reimbursement, quality-of-care measures related to patient satisfaction, and 30-day readmissions rates for COPD patients in California, Illinois, and New York. The quality-of-care measures included communication with nurses, communication with doctors, the hospital staff's responsiveness, and medicine communication. The secondary data were obtained from CMS and were open sourced. Rogers’s diffusion of innovation framework was used as the theoretical foundation, as this theory supported the purpose by promoting organizational improvement to decrease COPD 30-day readmissions. This study suggests relationships between hospitals' Medicare reimbursement and 30-day readmission rates differences for COPD in California, Illinois, and New York; as well as quality-of-care measures related to patient satisfaction in communication with hospital staff, and 30-day readmission rates differences for COPD in California, Illinois, and New York. This correlational research used a linear regression analysis model. This study has implications for potential positive social change, in that it provides information for healthcare administrators that may encourage innovative actions and policies to promote organizational improvements for COPD patients. In conclusion, it is recommended that researchers continue to study how hospitals can reduce readmissions for COPD patients.

Share

 
COinS