Date of Conferral

2022

Degree

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

School

Health Services

Advisor

Kevin Broom

Abstract

AbstractThe Centers for Medicare and Medicaid Services implemented the Hospital Readmission Reduction Program in 2012. Ten years later, hospitals across the United States have had negligible improvement in reducing preventable 30-day hospital readmissions for COPD patients. Healthcare, specifically the hospital setting, consists of complex processes and procedures. Not one process or procedure is the sole cause of correcting excessive preventable 30-day readmissions of patients with COPD. The essential elements of provider communication were studied using the Complex Adaptive Systems theory in this quantitative study. Each fundamental element of provider communication was the independent variable, and the preventable 30-day COPD excessive readmission ratio was the dependent variable. This correlational-quantitative study utilized the HRRP COPD excess readmission ratio for hospitals in Los Angeles, California. The independent variables were HCAHPS linear measure scores of Communication with Nurses, Communication with Doctors, and Communication about Medicines. The dependent variable was HRRP’s preventable 30-day COPD excess readmission ratio. The regression analysis utilized in this study did not find a statistically significant relationship between the independent and dependent variables. Implications for positive social change from this study were that certain types of provider communication did not reduce preventable 30-day COPD readmissions.

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