Date of Conferral



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


Health Services


Robin Carlson


Healthcare organizations have little evidence concerning how cultural competency impacts hospital quality outcomes of care transition and patients’ overall experience with care. Identifying if cultural competency translates into quality measures is important for healthcare administrators and could contribute to optimizing patient care. The purpose of this quantitative study was to explore the relationship between hospital cultural competency and hospital quality measures and compare California and other states’ acute care hospital cultural competency scores. Donabedian’s lasting framework for health care quality and Campinha-Bacote’s model of cultural competence in health care were used to frame this research. Hospital Consumer Assessment of Healthcare Providers and Systems’ (HCAHPS) data from 3,901 acute care hospitals were analyzed using simple linear regression and an independent sample t-test. Results indicated hospital cultural competency, as measured by HCAHPS, had a moderate positive relationship to both care transition and overall hospital rating. Additionally, California hospitals scores (on average) were lower than acute care hospitals in other states for hospital cultural competency scores. These findings confirm that cultural competence has a positive effect on hospital quality measures. The study contributes to positive social change by enabling healthcare administrators to promote cultural competency for improving high-quality healthcare to meet the needs of diverse patients.