Nursing ETDs

Nicole Adams

Publication Date

6-9-2016

Abstract

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.

Degree Name

Nursing

Level of Degree

Doctoral

Department Name

College of Nursing

First Committee Member (Chair)

Damron, Barbara

Second Committee Member

Parshall, Mark

Third Committee Member

Ryan, Andrew

Sponsors

Robert Wood Johnson Foundation

Keywords

Health Policy, Health Economics, Value Based Purchasing, Nursing

Language

English

Document Type

Dissertation

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