The purpose of this study was to determine what factors in clinical performance can negatively impact Medicare reimbursement for acute-care hospitals. Secondary data from Medicare.gov Hospital Compare website was used, specifically using results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), communication with doctors, communication with nurses, responsiveness of hospital staff, pain management, communication about medications, cleanliness of hospital, and quietness at night of hospital. The goal is to receive a response of "Always" to receive Medicare reimbursement.
A comparative analysis was used to compare the survey results from 194 acute-care hospitals among nine California counties. San Diego County had a consistent "Always" response in all 10 HCAHPS categories. One limitation was the inability to correlate total population with high or low HCAHPS scores. For further study, selecting specific demographics of each county to determine who is more likely to complete an HCAHPS survey.
|Commitee:||Reynolds, Grace Reynolds, Sinay, Tony|
|School:||California State University, Long Beach|
|Department:||Health Care Administration|
|School Location:||United States -- California|
|Source:||MAI 53/06M(E), Masters Abstracts International|
|Subjects:||Health care management|
|Keywords:||Affordable Care Act, California, Health care reform, Medicare, Value-based purchasing|
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