Date of Conferral



Doctor of Business Administration (D.B.A.)




Kenneth D. Gossett


Low-quality value-based patient care negatively impacts physicians’ ability to maintain private solo practices. Physicians who lack strategies to apply value-based patient care may lose their ability to stay in a private solo practice. Grounded in the complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies used by private solo physicians that provided value-based patient care. Participants were four physicians in solo private practice who successfully applied value-based patient care to maintain their private solo practice. Data were collected from semistructured interviews and organizational documents and analyzed using thematic analysis. Three themes emerged: (a) electronic medical record fitness with the physician, (b) sharing of workload to reduce burnout, and (c) choosing the right outsourced billing service. A key recommendation for solo practitioners is to select an EMR system to achieve value-based patient care and correct payer reimbursement. The implications for positive social change include the potential for physicians to improve healthcare delivery to benefit the health, dignity, and quality of life for local citizens.