Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

An Exploratory Analysis of the Association Between Hospital Quality Measures and Financial Performance

Version 1 : Received: 1 October 2023 / Approved: 1 October 2023 / Online: 1 October 2023 (08:35:28 CEST)

A peer-reviewed article of this Preprint also exists.

Beauvais, B.; Dolezel, D.; Ramamonjiarivelo, Z. An Exploratory Analysis of the Association between Hospital Quality Measures and Financial Performance. Healthcare 2023, 11, 2758. Beauvais, B.; Dolezel, D.; Ramamonjiarivelo, Z. An Exploratory Analysis of the Association between Hospital Quality Measures and Financial Performance. Healthcare 2023, 11, 2758.

Abstract

Hospitals are perpetually challenged by the dual requirements of concurrently improving the quality of healthcare and maintaining financial solvency. Both issues are among the top concerns for hospital executives across the United States, yet some have questioned if the efforts to enhance quality are financially sustainable. led us to examine if improving quality in the hospital setting impacts revenue. Using multivariate regression, we assessed if numerous quality measures were associated with our targeted measure of hospital profitability: the net patient revenue per adjusted discharge. The independent variables included the HCAHPS Summary Star Rating, Hospital Compare Overall Rating, All-Cause hospital-wide Readmission Rate, Total Performance Score, Clinical Outcomes Domain Score, Safety Domain Score, Person and Community Engagement Domain Score, and the Efficiency and Cost Reduction Score. Our results indicated that improving quality was significantly associated with improved net patient revenue per adjusted discharge for seven of the eight of these quality measures at the hospital level. It is clear that failing to address quality and patient safety issues is costly for US hospitals, thus we believe our findings support the premise that increased attention to the quality of care delivered as well as patients’ perceptions of care may allow hospitals to accentuate profitability and advance a hospital’s financial position.

Keywords

hospital; quality; patient safety; perceptions of care; financial performance

Subject

Public Health and Healthcare, Health Policy and Services

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