Date of Conferral

2023

Degree

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

School

Health Services

Advisor

Rabeh Hijazi

Abstract

AbstractMany US hospitals report overcrowding in the emergency department (ED) with increased ambulance diversion. Operating at overcapacity risks staff members' ability to provide timely and effective emergency care to patients, exposing them to poor health outcomes. The purpose of this quantitative study was to evaluate whether a correlation exists between cross-functional team collaboration and timely and effective ED care for patients who left 548 national hospital EDs before being seen between 2020 and 2021. The study's independent variable was cross-functional team collaboration, and the dependent variables were Centers for Medicare and Medicaid Services (CMS) Quality Measure scores: left before being seen and average median time patients spent in the ED before departing from the visit. The D'amour theory, which focused on the effectiveness of interprofessional collaboration among multidisciplinary healthcare teams, served as the study's theoretical framework. Utilizing a random sample of 548 hospitals from the CMS database, a linear regression analysis resulted in a statistical correlation between cross-functional team collaboration on timely and effective emergency care when measuring CMS quality measure scores for the percentage of patients and average (median) time patients spent in the ED before leaving the visit. The study contributes to positive social change by creating significant awareness amongst emergency department administrators and stakeholders to support policies that enhance multidisciplinary team collaboration for improved patient healthcare outcomes.

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