Date of Conferral

2022

Degree

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

School

Health Services

Advisor

Fawzi Awad

Abstract

AbstractChronic obstructive pulmonary disease (COPD) is a serious disease that affects the respiratory system, creating poor patient outcomes. Additionally, persons with COPD have higher hospital readmission rates than other patient populations. Not only is hospital readmission indicative of poor patient outcomes, but hospital readmissions are costly to healthcare organizations as well. High readmission rates are associated with wasted resources and money, and negatively impact organizational performance. The Centers for Medicaid and Medicare Services (CMS) implemented the Hospital Readmissions Reduction Program (HRRP) to reduce the rate of avoidable hospital readmissions for diseases including COPD. However, how HRRP penalties have impacted readmission rates for COPD was unknown in some states. Using the expectancy theory as a theoretical framework, the purpose of this quantitative retrospective comparative analysis study was to examine if HRRP penalties in the fiscal year 2020 were correlated with reducing COPD readmissions at Indianapolis metropolitan hospitals in the fiscal year 2021. Data were collected from CMS' Fiscal Year 2020 HRRP Supplemental Data File and CMS' HRRP data and analyzed using linear regression analysis. Findings showed that HRRP penalties were a successful method for reducing COPD readmission in 2021, reducing healthcare costs, and promoting quality, which could help guide future policy decisions within the respective hospitals. Results could lead to positive social change as they provide more information about how to reduce unnecessary COPD U.S. hospital readmissions to increase patient quality of life and decrease costly and unnecessary readmissions.

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