Date of Conferral



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


Business Administration


Dr. Chad C. Sines


Implementing successful value-centered care strategies that support patient-centeredness while reducing cost is a significant challenge for healthcare leaders. In 2001, the Committee on Quality of Healthcare in America and the Institute of Medicine identified patient-centeredness as 1 of 6 improvement goals to improve quality of care for the 21st century. The purpose of this multiple case study was to explore patient-centered strategies that healthcare managers used to reduce the cost of healthcare for elderly patients without reducing the quality of patient care. The conceptual framework that grounded this study was patient-centered care, and the opposing theory was the primary care team model. Data were collected using semistructured interviews with 6 healthcare leaders selected via purposive sampling throughout Virginia and a review of healthcare facilities' documents and website pages. Data were analyzed using Yin's 5-step process, which led to the identification of 4 themes. Themes that emerged from the study included patient-centered care matters, management leadership strategies, control methods for monitoring costs, and maximizing community healthcare services. The implications of this study for positive social change include the potential to improve the delivery of healthcare for elderly patients and access to quality patient-centered care that supports cost-reducing strategies healthcare managers can employ to increase profits through value-based healthcare.