Date of Conferral

11-20-2024

Degree

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

School

Health Services

Advisor

Diana Naser

Abstract

Readmissions and death rates can serve as indicators of performance in healthcare organizations and can reflect a lapse in staff performance particularly for patients with chronic obstructive pulmonary disease (COPD). The purpose of this quasi-experimental quantitative study was to determine the extent to which readmissions and death rates within 30 days of discharge for patients with COPD at selected Veterans Affairs (VA) medical centers, differed between 2015 and 2018. The transitions theory served as the theoretical framework for this study. The research questions evaluated readmissions and death rates for patients with the chronic obstructive pulmonary disease at VA medical centers between 2015 and 2018. The Veteran’s Health Administration Readmissions and Deaths COPD data for 2015–2018 were analyzed. The data set captured information from 171 VA medical centers. A one-way ANOVA test was used to analyze data. The results regarding the readmissions and mortality rates within 30 days of discharge showed statistically significant differences in readmission rates for the years 2015–2018 (p < .05) and death rates for the years 2015–2018 (p < .011). The findings of this study may help improve patient outcomes by identifying trends in readmission rates for COPD patients in VA medical centers. The identification of the need for changes in healthcare delivery could lead to a reduction in readmissions and patient deaths. The positive social change implication for this study could include a healthcare delivery approach that can be incorporated at other healthcare facilities with a degree of consistency in operations that can benefit both the facility and the patients.

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