Date of Award
Abstract The quality and cost of health care services have been of significant concern for many years for policymakers and healthcare leaders. New payment models such as the global payment model and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey instrument were introduced to assess and improve the national healthcare system. However, the impact of the global payment model on patient satisfaction of care remains limited. The purpose of this study was to investigate if Maryland Global Payment Model impacts patient ratings of hospital care during and after the implementation of the model. The primary research question used for this study was how does patient satisfaction change after the implementation of Maryland’s global payment model? The research methodology used for this study was quantitative with a one-way ANOVA design. Secondary data from 42 hospitals were used to investigate the impact of Maryland Global Payment Model on patient satisfaction of care. Data were downloaded from the Centers for Medicare and Medicaid Services (CMS) website and include the patient’s average satisfaction scores of their perception about hospital services. A one-way analysis of variance (ANOVA) was used to test patient satisfaction of communication with nurses, communication with doctors, the responsiveness of hospital staff, pain management, communication about medicines, care transition, discharge information, overall hospital rating, and willingness to recommend the hospital. Although patient satisfaction scores of communication with nurses, communication with doctors, the responsiveness of hospital staff, pain management, communication about medicines, discharge information, and overall hospital rating trended positively during and post implementation of Maryland global payment mode, the only statistically significant difference was communication about medicines. The findings of this study can encourage healthcare professionals and policymakers to place a high value on the performance of health care providers and the development of new payment models that can positively impact patient satisfaction of care. Further research could expand the study to incorporate inpatient services provided at other states to reveal how a global payment model impacts patient satisfaction under a larger scale
Blanco-Topping, Richard, "THE IMPACT OF MARYLAND’S GLOBAL REIMBURSEMENT SYSTEM ON PATIENT SATISFACTION: A ONE-WAY ANALYSIS OF VARIANCE" (2019). Faculty Dissertations. 1.