Date of Conferral
3-6-2024
Degree
Doctor of Healthcare Administration (D.H.A.)
School
Management
Advisor
Heidi Waters
Abstract
The U.S. health care system is faced with the need to reduce costs and improve clinical outcomes. The Centers for Medicare and Medicaid Services’ (CMS) Hospital Value-Based Purchasing program ensures that health care delivery is value-based rather than volume-based. In this quantitative study, the relationship(s) between efficiency and total performance scores (TPS) for hospitals in Miami, Florida participating in the CMS HVBP in 2021 were examined. Using the Donabedian model, the research question focused on assessing the correlation between total performance hospital efficiency scorse. The sampls included for-profit and nonprofit government and private-owned hospitals. A partial correlation was used to determine the relationship between hospital efficiency and TPS while controlling for hospital ownership type. The correlation was not statistically significant, r (13) = -.229, p = .411. However, zero-order correlations showed that there was a statistically significant, positive correlation between hospital efficiency and TPS, r (14) = .505, p = .046. Implications for positive social change include using the findings to understand how efficiency affects TPS and to implement measures addressing hospital inefficiencies with the goal of reducing expenditure and improving performance and patient health outcomes.
Recommended Citation
Williams, Latasha, "Assessing the Relationship(s) Between Efficiency and Total Performance Scores for Hospitals in Miami, Florida" (2024). Walden Dissertations and Doctoral Studies. 15443.
https://scholarworks.waldenu.edu/dissertations/15443
