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The implications of hospital value-based purchasing on academic medical centers

LoNigro, Adam (2017) The implications of hospital value-based purchasing on academic medical centers. Master Essay, University of Pittsburgh.

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Academic Medical Centers (AMCs) are an integral component of the health care system in the United States. With such a unique purpose and sweeping influence, AMCs play an indispensable role in transforming the health care delivery system. To transition from volume to value, value-based purchasing programs play an equally important role. The purpose of this study is to understand if the hospital value-based purchasing program is achieving its stated goal of improving patient outcomes, safety, and patients’ care experience in the academic medical center setting. Objectives include evaluating how AMCs have been impacted by this program, what results have been realized so far, and if any adverse effects exist. This will be accomplished by reviewing literature and publications relevant to hospital value-based purchasing in the context of academic medical centers and the broader category of tertiary care providers. Pay-for-performance and value-based purchasing programs preceding the hospital value-based purchasing program, showed no statistically significant results on clinical quality, outcomes, costs, unintended effects, and effects on disparities in the hospital setting. In 2016, 64% of teaching hospitals received penalties, while only 36% received bonuses. Under the hospital value-based purchasing program, academic medical centers are currently at a financial disadvantage due to the vulnerable populations they serve, along with the cost and implications of teaching and researching. It is critical to innovation and redesign that AMCs flourish and thrive, with enough funding to achieve their tripartite mission of care, research, and education. They function as an incubator for cutting-edge treatments, are responsible for training future generations of medical professionals, and act as a safety net for the communities they serve. They are the economic engine of many communities and improve the health of the people that surround them. Although there is limited quantifiable outcomes associated with HVBP’s goals currently, the program is an important and necessary step in the evolution of the United States health care system. Outcomes and results must be analyzed intensively and used to constantly improve value-based purchasing measures. The hospital value-based purchasing program is significant to public health because many people can’t afford the medical care they need right now.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
LoNigro, Adamasl41@pitt.eduASL41
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairCastle, Nicholascastlen@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberMartinson, Jeremyjmartins@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 28 April 2017
Date Type: Submission
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 12 Jul 2017 19:20
Last Modified: 10 Dec 2020 02:04


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