Date of Conferral

2022

Degree

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

School

Business Administration

Advisor

Marlyn Simon

Abstract

The difficulty that nurse leaders experience in administrating quality of care while increasing Medicare payments threatens the hospital's patient well-being and financial stability. Health care administrators should be concerned about these issues to ensure their hospitals meet patient and community needs. Grounded in the performance improvement model, the purpose of this qualitative single case study was to explore strategies that hospital managers use to improve the quality of care and increase Medicare payments. The participants were six nurse leaders of a medium size hospital based in Houston, Texas. Data were collected using semistructured virtual interviews and a review of company documents. Through thematic analysis, five themes were identified: (a) leaders shaped the organizational culture, (b) leaders empowered staff through evidence-based workflows to mitigate potential issues, (c) leaders provide appropriate resources to improve patient care outcomes, (d) leaders’ proactive engagement motivate employees to improve patient care, and (e) leaders use of innovative tools to measure and monitor the quality-of-care outcomes. A key recommendation is for nurse leaders to identify the gaps in the process and develop appropriate corrective actions to improve the quality of care and increase Medicare payments in hospitals. The implications for positive social change include the potential to improve the quality of health care, decrease mortality, and increase revenue for surrounding communities.

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