Date of Conferral

2021

Degree

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

School

Health Services

Advisor

James E. Rohrer

Abstract

Abstract The Center for Medicare and Medicaid Services has been shifting from paying hospitals for the volume of services they delivered to paying them for the quality of those services, known as pay-for-performance, to incentivize hospitals to offer improved care at a lower cost. When a patient goes to the hospital to receive care for one condition and develops another condition during that hospital stay, the second condition is referred to as a hospital-acquired condition. It is anticipated that 1.7 million infections are acquired at some point in-hospital stay in the United States annually, resulting in nearly 100,000 deaths in addition to $20 billion in cost. The present study investigated the association between the Central-Line-Associated Bloodstream Infection, Catheter-Associated Urinary Tract Infection, and Methicillin-Resistant Staphylococcus Aureus total ranking scores and hospital ownership in safety-net hospitals. The theoretical framework for this study comprised the Donabedian model. The study employed a quantitative cross-sectional research design using multiple linear regression analyses. The main finding of this study suggested no association between hospital-acquired condition rate and safety-net hospitals, except for types of safety-net hospital's influence on total hospital-acquired condition score. A decrease in Hospital Acquired Infections could not only help with the economic efficiency of hospitals but also its corporate social responsibility. Identification and study of strategies to decrease hospital-acquired infections might increase awareness of the influences of infection on the safety of patients, healthcare workers, and visitors leading to positive social change.

Download

Share

 
COinS