How Lagging Financial Metrics Affect Next Year Hospital Patient Metrics
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healthcare management
hospital decision-making
cross-subsidization
Health and Medical Administration
Nonprofit Administration and Management
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Abstract
This paper analyzes a dataset of 231 California general acute hospitals from 2013-2018 to determine whether there are differences between how financial metrics affect following year patient metrics in non-profit versus investor-owned hospitals. The primary patient metric used in this paper is the average length of stay, excluding long-term care. The primary financial metrics used in this paper are lagged gross patient revenue. Secondary outcomes measured include how c-section births, inpatient operating room minutes, and total discharges are affected by financial metrics from non-profit and investor-owned hospitals. The main finding of this paper is that investor-owned hospitals decrease the average length of stay while non-profit hospitals increase the average length of stay as the previous year's net income increases.