Hospital Value-Based Purchasing: The Association between Patient Experience and Clinical Outcome
Document Type
Article
Publication Date
10-1-2017
Abstract
The Affordable Care Act of 2010 introduced a Hospital Value-Based Purchasing Total Performance Score for payment purposes and to evaluate hospital quality of care. In fiscal year 2016, Total Performance Score was composed of (1) Clinical Processes of Care, (2) Patient Experience of Care, (3) Outcome, and (4) Efficiency domains. The objective of this study was to examine the association between the Patient Experience of Care and Outcome domains. The Donabedian model of structure, process, and outcome was used as a conceptual framework for this study. Data from the 2015-2016 Area Health Resource File, the 2016 American Hospital Association database, and the 2016 Hospital Value-Based Purchasing were used. Univariate, bivariate, and multivariate analyses were conducted to examine the impact of patient experience on outcome of care and hospitals. From a sample of 1866 hospitals across the United States, patient experience was significantly and positively associated with patient outcome. In addition, for-profit hospitals, hospitals with more beds, nonteaching hospitals, and hospitals located in less competitive markets were found to have a significant association with better outcomes. The study's findings are important as policy makers consider additional or alternative indicators that may better represent and encourage higher quality of care within acute care hospitals.
Publication Title
Health Care Manager
Volume
36
Issue
4
First Page
312
Last Page
319
Digital Object Identifier (DOI)
10.1097/HCM.0000000000000183
PubMed ID
28961643
ISSN
15255794
E-ISSN
1550512X
Citation Information
Haley, Hamadi, H., Zhao, M., Xu, J., & Wang, Y. (2017). Hospital Value-Based Purchasing: The Association Between Patient Experience and Clinical Outcome. The Health Care Manager, 36(4), 312–319. https://doi.org/10.1097/HCM.0000000000000183