Date of Conferral



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


Health Services


Cheryl Cullen


AbstractDespite groundbreaking advances in technology and medicine in the United States and intensive examination of health services quality initiatives, issues of quality and patient-reported experience measures in the hospital sector remain unimproved. Although evidence-based medicine has improved through innovation in clinical research, healthcare systems have reportedly struggled to implement advances in medicine and lack the skill sets to become learning health systems. As clinical practice and clinical trials (CTs) have rarely intersected in the past, a significant lack of quantitative research has been dedicated to correlate improved patient outcomes with participation in CTs. The analysis sought a correlation, if any, between the dependent variables of linear mean patient experience scores and overall star ratings with the independent variable of hospital participation in CTs. The key research question was to what extent, if at all, are any of the 10 HCAHPS hospital quality indicators related to the type of hospital (CT versus non-CT). The Mann-Whitney test was used to determine with 95% confidence, an alpha level of 0.05, as well as a Pearson’s correlation coefficient to show that participation in CTs increased patient experience metrics and linear mean scores in 7 out of 10 HCAHPS domains, with 5 out of 10 domains showing moderate correlations in hospital participation in CTs with higher HCAHPS scores. Given the findings of this study, it is reasonable to assert that increased participation in CTs may have a positive impact not only on the health of our population, but also on the health of our organizations as a whole resulting in positive social change.