Cost management strategy in healthcare: An examination of the effectiveness of quality improvement programs

by Wadsworth, Eric B., Ph.D., CAPELLA UNIVERSITY, 2007, 106 pages; 3262850


Global competition and productivity enhancing technology have proven powerful inducements for reducing costs and increasing value for customers in many industries and Quality Improvement has been an effective tool in this evolution. Meanwhile healthcare has remained somewhat immune from market forces, fearing commoditization of this intensely personalized discipline if industrial strength management tools were applied. However, bankruptcies and consolidation indicate the rapid evolution of the healthcare marketplace, while employer and consumer dissatisfaction with soaring prices suggest the industry may be ripe for change. As part of its response, the industry has seen broad adoption and subsequent maturation of Quality Improvement programs over the past decade, and this research examines the effectiveness of Quality Improvement as a cost management tool in healthcare. A population of federal and state healthcare quality award winners sponsored by the Bureau of Commerce and the Malcolm Baldrige Quality Foundation were identified and paired with similar non-award winning hospitals, to determine if institutions operating with mature Quality Improvement implementations are able to operate at a lower cost. In addition, cost data for the quality award winners were examined over time to determine if cost per discharge at those institutions declined as quality programs spread through their organizations.

AdviserFrank DeCaro
Source TypeDissertation
SubjectsManagement; Health care management
Publication Number3262850

About ProQuest Dissertations & Theses
With nearly 4 million records, the ProQuest Dissertations & Theses (PQDT) Global database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

PQDT Global combines content from a range of the world's premier universities - from the Ivy League to the Russell Group. Of the nearly 4 million graduate works included in the database, ProQuest offers more than 2.5 million in full text formats. Of those, over 1.7 million are available in PDF format. More than 90,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - - or contact ProQuest Support.