Date of Award
Doctor of Health Administration
College of Health Professions
Jillian B. Harvey
Shelly E. Turner
Lisa K. Saladin
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.
Higman, Adam, "Survey Deficiency Data as a Quality Measure for Hospitals and ASCS in Florida" (2016). MUSC Theses and Dissertations. 431.
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