Date of Conferral

2021

Degree

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

School

Health Services

Advisor

Dr. Nazarene Tubman

Abstract

Despite efforts from hospitals across the United States, 30-day hospital readmission rates for patients with chronic conditions are on the rise. The purpose of this quantitative study was to examine the relationships in Illinois hospitals between patients with heart failure (HF) and pneumonia (PN) and 30-day hospital readmission rates by using the Pearson’s product-moment correlation test, focusing on how often these patients were readmitted and whether the hospital-wide rate of readmission after discharge changed. Andersen-Newman’s behavioral model with health services utilization was the theoretical framework, and a pre-collected Centers for Medicaid Services dataset was used for analysis. Results found a significant association between hospital return days and HF and PN patients. There was also a significant interaction between the mean difference of rate of readmission after discharge from hospital (hospital-wide) and PN and HF 30-day readmission rate. Based on the findings, it appears that a hospital’s health care strategy can be used to improve quality measures and health outcomes for patients with chronic conditions of HF and PN. Including social services in a hospital’s health care strategy before hospital discharge for patients with HF and PN may lead to positive social change by improving 30-day hospital readmission rates and health outcomes and quality of life for these patient populations when social stigma is addressed.

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