Thesis
Data envelopment analysis comparison of Washington state hospital efficiency and quality
Washington State University
Master of Health Policy and Administration (MHPA), Washington State University
2010
Handle:
https://hdl.handle.net/2376/101126
Abstract
The purpose of this thesis is to measure and assess the relationship between technical efficiency and quality in Washington State Hospitals using Data Envelopment Analysis (DEA). The study design is a non-randomized correlation analysis using a cross-sectional sample from 2007. Inputs for the DEA model include hospital size, operational expenses, total FTEs and total assets. Technical outputs consist of CMI adjusted admissions, outpatient visits and training FTEs, while quality outputs consist of percentage of pneumonia patients given initial antibiotic(s) within 6 hours of arrival, percentage of pneumonia patients given oxygenation assessment and percentage of pneumonia patients assessed and given pneumococcal vaccinations. An input oriented, constant returns to scale DEA model is used. Two separate DEA models are created, the first without the 3 quality outputs and the second model including the three quality outputs for a total of six outputs. These two models were then compared using a Spearman Rank Coefficient test. Descriptive results from the correlations analysis show a positive and statistically significant correlation between the two models. This suggests that hospitals which are deemed technically efficient are also more likely to rank highly when quality is considered into the equation as an output. Managerial implications include the assurance that cost cutting measures such as Six Sigma or Lean Management do not have an effect on quality. This also adds credence to creating a balanced scorecard for hospitals which includes both quality and financial measures, since both these factors vary together. This study has several limitations including a limited sample size of Washington State, the use of self-reported measures and the issue of multicolinearity. Areas for future research include a replication of this study on a broader geographic sample.
Metrics
12 File views/ downloads
58 Record Views
Details
- Title
- Data envelopment analysis comparison of Washington state hospital efficiency and quality
- Creators
- Nicholas Norbert Leute
- Contributors
- Joseph S. Coyne (Degree Supervisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Health Policy and Administration, Department of
- Theses and Dissertations
- Master of Health Policy and Administration (MHPA), Washington State University
- Publisher
- Washington State University; Pullman, Wash. :
- Identifiers
- 99900525298101842
- Language
- English
- Resource Type
- Thesis