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PEER GROUP FACTORS RELATED TO THE FINANCIAL PERFORMANCE OF CRITICAL ACCESS HOSPITALS

The Journal of Health Care Finance

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Title PEER GROUP FACTORS RELATED TO THE FINANCIAL PERFORMANCE OF CRITICAL ACCESS HOSPITALS
 
Creator Hawkins, MBA, MHA, MSPH, Walter L.; Walter L. Hawkins, MBA, MHA, MSPH
Department of Health Policy and Management
Gillings School of Global Public Health
University of North Carolina at Chapel Hill USA
Reiter, PhD, Kristin L.; Kristin L. Reiter, PhD
Associate Professor
Department of Health Policy and Management
Gillings School of Global Public Health
University of North Carolina at Chapel Hill USA
Pink, PhD, George H.; George H. Pink, PhD
Humana Distinguished Professor
Department of Health Policy and Management
Gillings School of Global Public Health
University of North Carolina at Chapel Hill USA
 
Description Context: The Flex Monitoring Team created the Critical Access Hospital (CAH) peer grouping methodology ten years ago. The methodology has proven successful over time, but the operating environment has changed. Purpose: To assess whether the factors used in the current CAH peer grouping methodology continue to be associated with hospital performance, and evaluate whether new factors such as geographic or community characteristics should be considered when developing peer groups. Methods: This was a retrospective cross-sectional study to determine whether there was evidence suggesting that geographic factors, community factors, or hospital factors may need to be added to the current CAH peer grouping methodology and whether the current factors are still associated with CAH performance. Using data from fiscal years 2011-2014, multivariate regression analysis was utilized to determine which factors were most relevant for CAH peer groups. Findings: As a group, hospital factors were the most influential on hospital performance. All four of the current factors used in creating CAH peer groups were still relevant. Geographic factors, especially region, demonstrated relevancy in CAH peer grouping. The most rural CAHs stood out in this study, and rurality influenced all five revenue indicators. The top two peer group factors, based on statistical significance at p < .05, were net patient revenue and region. Conclusions: The hospital factors used in the current CAH peer grouping methodology are still associated with hospital performance and should be used for establishing CAH peer groups. Geographic characteristics should be considered when formulating peer groups, especially region.
 
Publisher Worldwebtalk.com, Inc.
 
Contributor —
 
Date 2017-07-17
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://healthfinancejournal.com/index.php/johcf/article/view/126
 
Source Journal of Health Care Finance; Vol. 43, No. 4, SPRING 2017
 
Language eng
 
Relation http://healthfinancejournal.com/index.php/johcf/article/view/126/130
 
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