Date of Award

2019

Embargo Period

1-1-2019

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

Abstract

Concerns with rising healthcare costs, poor access to services, and the quality of healthcare delivery in the United States have led to the transition from fee-for-service (FFS) to value-based reimbursement (VBR) or pay for performance (P4P). A first step to fully actualizing VBR is obtaining a clearly defined value for care delivery. This study defines a set of minimum IT capabilities for measurements of value and quality for improvements in the quality of healthcare delivery, to reduce healthcare costs, and improve access to healthcare. Next, using the American Hospital Association’s Annual Survey of Information Technology Supplement dataset, the study explores current hospital capacity to leverage IT systems for value-based monitoring and payment. Findings indicate most U.S. hospitals have not fully implemented all the IT components necessary for value-based reimbursement. However, large hospitals and non-profit hospitals are further along in the process than smaller hospitals or for-profit hospitals.

Rights

All rights reserved. Copyright is held by the author.

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