Remote hospitals and hospital value based purchasing
Review TypeNone: Degree-based Submission
Repository Posting Date2020-09-04T19:55:19Z
Author DetailsDr. Nicole Adams, PhD, RN
Lead Author Sigma AffliationDelta Omicron
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
The purpose of this study is to identify remote hospitals and then assess their performance in the first three years of the Hospital Value Based Purchasing program. A definition for remote hospital was created using clinical outcome literature and travel time. The hospitals were then identified as those hospitals more than 60 minutes driving time from the next nearest hospital by using geographic information systems software (n = 127). The remote hospitals’ payment adjustments and raw quality scores were be compared with non-remote hospitals. Remote hospitals have done well in the first three years improving their payments over time. However, little change is seen in the quality metrics used in the program. A review of economic theories relevant to hospital performance and behavior identified several hospital characteristics that may contribute to performance. None of the characteristics were predictive of success in the program.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10126033; ProQuest document ID: 1808215599. The author still retains copyright.
Degree GrantorThe University of New Mexico
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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