Date of Award
2016
Document Type
Dissertation
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Jillian B. Harvey
Second Advisor
Walter Jones
Third Advisor
Shelly E. Turner
Fourth Advisor
Lisa K. Saladin
Abstract
The shift of care into an ambulatory setting calls for improved transparency of quality outcomes across care settings. Past analysis comparing hospitals and ASCs has focused on patient outcomes, but is limited by issues of risk adjustment. We applied methods used by CMS in the nursing home setting to standardize facility-level survey data and measure quality across hospitals and ASCs in West Central Florida. We then applied a four-point star system, ranking institutions based on aggregate scores. We found that ASCs are 4.68 times more likely than hospitals to achieve the best rating of 4 stars, whereas ASCs chances of earning 1 star are 78% lower than hospitals. As there was a wide discrepancy in ratings across individual ASCs and hospitals, state survey data represents a readily available resource for policymakers to improve consumer interests in determining their site of care.
Recommended Citation
Higman, Adam, "Survey Deficiency Data as a Quality Measure for Hospitals and ASCS in Florida" (2016). MUSC Theses and Dissertations. 431.
https://medica-musc.researchcommons.org/theses/431
Rights
All rights reserved. Copyright is held by the author.