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Chatfield Dissertation - Final.pdf (2.34 MB)

ETD Abstract Container

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Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape

Chatfield, Jonathan Seth
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372862854

Abstract Details

2013, Doctor of Philosophy, University of Toledo, Manufacturing and Technology Management.
This research utilizes a mixed methods approach to understand and describe how the leadership of the nation’s top performing teaching hospitals drive real and rapid organizational change and improvement in regards to patient quality, outcomes, and experiences. All of these key outcome variables are critical to success of hospitals, especially since the advent and implementation of The Patient Protection and Affordable Care Act (PPACA). Sampling utilizes the quantitatively driven Data Envelopment Analysis (DEA) methodology to identify major teaching hospitals that most efficiently produce the highest Value Based Purchasing (VBP) scores for inclusion in this study. Face-to-face, in-depth interviews were conducted with 75 individuals that comprised the senior leadership teams of 10 different healthcare institutions that participated in this study and provided a qualitative, context rich, approach to understanding the phenomena under question. Analysis of over 55 hours of interview recordings and over 1,000 single spaced pages of interview transcripts using a frequency protocol technique identified common themes associated with successful and sustainable organizational change in regards to performance improvement in patient quality, outcomes, and experiences at the sample hospitals. Lessons learned, best practices, and future challenges are discussed, as well as a discussion of potential future research issues.
Clinton Longenecker, Ph.D. (Committee Chair)
Jeffrey Gold, M.D. (Committee Member)
Laurence Fink, Ph.D. (Committee Member)
Monideepa Tarafdar, Ph.D. (Committee Member)
194 p.
Health Care Management
Leadership; Healthcare; Data Envelopment Analysis; Value Based Purchasing

Recommended Citations

Citations

  • Chatfield, J. S. (2013). Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372862854

    APA Style (7th edition)

  • Chatfield, Jonathan. Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape. 2013. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372862854.

    MLA Style (8th edition)

  • Chatfield, Jonathan. "Leading Healthcare Transformation: How Top Performing Teaching Hospitals Successfully Manage Change in the New Healthcare Landscape." Doctoral dissertation, University of Toledo, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372862854

    Chicago Manual of Style (17th edition)

toledo1372862854
3,711
© 2013, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.