Date of Conferral

2022

Degree

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

School

Health Services

Advisor

Lee W. Bewley

Abstract

AbstractIt is essential for hospitals to focus on improving indicators that positively influence patient experience and clinical outcomes and thereby improve clinical and financial organizational outcomes. The purpose of the study was to examine the association between the staff Patient Safety Grade Mean Rating Score, Person and Community Engagement Domain Score, and the Value Based Purchasing Total Performance Score. The theoretical framework used in this study is the Donabedian model specifically regarding providing structure, process, and outcomes framework relative to the evaluation of care. The research questions examined the association between staff Patient Safety Grade Mean Rating Score, the Person and Community Engagement Domain Score, and the Value Based Purchasing Total Performance Score. The study design was a cross sectional approach. The study used data from the Agency for Healthcare Research and Quality (AHRQ) Survey on Patient Safety, as well as the Center for Medicare and Medicaid Services, Hospital Value Based Purchasing Program. Two key findings in this study including the identification of a statistically significant relationship between the Person and Community Engagement Domain Score and the Hospital Value Based Purchasing Total Performance Score, and secondly, that there was no statistically significant relationship between the Person and Community Engagement Domain Score and the Hospital Value Based Purchasing Total Performance Score were noted. The findings suggest that hospitals that have better patient experiences are more likely to have better clinical outcomes. Findings may be used by hospital administrators for positive social change to improve patient experiences.

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