Medicare paid $388.7 billion to acute care hospitals in 2014 representing the largest portion of the health care sector in the United States. Medicare implemented an innovative reimbursement model called Value Based Purchasing (VBP) to ensure hospitals provide quality care for the dollars spent. This correlation study used the VBP theoretical framework developed by Dudley as the foundation for the reimbursement model implemented by Medicare in 2013. The data used for this study came from the Centers of Medicare and Medicaid, as well as from Guidestar. The data focused on acute care, nonprofit hospitals located in New Jersey, New York, and Pennsylvania. Data trending and scatter plot graphs were used to analyze trends and basic correlation. Pearson correlation coefficient tests were performed to confirm correlation. The results showed no statistically significant relationship between program service revenue and the VBP domains for years 2013 and 2015. A weak positive relationship existed between 2014 program service revenue and the process of care domain; however, no statistically significant relationship existed between the remaining domains. The results from this study showed that quality metrics for acute care hospitals did not improve as the VBP criteria from Medicare expanded across the institutions included in the study. Hospital quality metrics are publicly accessible to everyone and allows patients to see actual results rather than the only resource being positive marketing campaigns. Accessibility to actual data has a positive influence on social change because patients can make informed choices for their personal health care needs.
| Identifer | oai:union.ndltd.org:waldenu.edu/oai:scholarworks.waldenu.edu:dissertations-5909 |
| Date | 01 January 2017 |
| Creators | Gubbine, Sandra J |
| Publisher | ScholarWorks |
| Source Sets | Walden University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Walden Dissertations and Doctoral Studies |
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