Date of Conferral

6-2-2025

Date of Award

June 2025

Degree

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

School

Business Administration

Advisor

Warren Lesser

Abstract

The incidence of hospital acquired conditions (HACs) has been a persistent problem in the United States that has negatively affected patient safety, care outcomes, and hospital costs and profitability. Effective strategies to reduce HACs and improve compliance with Hospital-Acquired Condition Reduction Program (HACRP) requirements are important for hospital leaders. Grounded in the total quality management conceptual framework, the purpose of this qualitative pragmatic inquiry was to explore how six hospital leaders in the Southeast United States successfully reduced HACs and improved HACRP compliance. Data were collected through personal interviews and publicly available documents. Yin’s 5-step process was used for data analysis, which confirmed data saturation and revealed four HAC-incidence-reduction-strategy themes, which included (a) objective problem analysis, (b) cultivating congruent leaders, (c) garnering staff commitment, and (d) perpetuating continuous quality improvement. A key recommendation is that hospital executives should drive congruency among all hospital leaders in their organizations so that HACRP compliance strategies can be effective, short- and long-term. These study findings may contribute to social change because reduced HAC incidents may result in improvements in quality of care and treatment outcomes for patients, and as a result, improve quality of life for local citizens.

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