Date of Conferral

2020

Degree

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

School

Health Services

Advisor

Cynthia Newell

Abstract

Roughly 25% of individuals 65 years and over hospitalized with heart failure are readmitted within 30 days after discharge. Elderly individuals identified with heart failure possess a 5-year mortality approaching 50%. The purpose of this study was to determine if there is a relationship between Medicare-covered services for care, mortality rates, and readmission rates for beneficiaries 65 years and over with heart failure. To address this topic, the chosen approach was retrospective and quantitative. The theoretical foundation was the Chronic Care Model. The research questions sought to determine if there is a relationship between the Medicare-covered services for care and mortality rates of patients 65 years and over with heart failure, and whether there is a relationship between Medicare-covered services for care and readmission rates of patients 65 years and over with heart failure. The study involved Hospital Compare data from CMS for Medicare patients 65 years and over who were seen in hospitals within the United States and diagnosed with heart failure from 2015 to 2017. Quantitative analyses were conducted through correlational and multiple regression analysis. Findings indicated statistically significant relationships of utilization of Medicare and mortality for 2015, 2016, and 2017 and statistically significant relationships of utilization of Medicare and readmission rates of individuals 65 years and over with heart failure in 2015 and 2016. It can be concluded that covariates and a focus on the impact of socioeconomic variables on Medicare beneficiaries 65 years and over with heart failure should be included for future research. Findings may be used by hospital administrators to create social change by understanding Medicare use and the needs of older adults.

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