Date of Award

2019

Document Type

Dissertation - Rollins Access Only

Degree Type

Dissertation

Degree Name

Doctor of Business Administration (DBA)

Abstract

This study investigated the relationships between hospital operating inputs and financial performance metrics of 1,743 hospitals to understand these relationships. The empirical findings suggest that increasing the number of Beds, and Licensed Practical Nurses decreases Total Expenses per Adjusted Patient Days. In contrast to this finding, increasing the Service Count and number of Staff Physicians increases the Total Expenses per Adjusted Patient Days. An increase in the Service Count, Staff Physicians, Registered Nurses, and Licensed Practical Nurses increases the Total Man-Hours per Adjusted Admissions. Finally, increasing the Service Count increases the Total Supply Costs per Adjusted Admissions but increasing the number of Staff Physicians and Licensed Practical Nurses decreases the Total Supply Costs per Adjusted Admissions. These findings suggest that hospitals may not be realizing the benefits of scaling effects by increasing the number of services they offer but the findings also suggest that staff physicians are a key component of controlling supply costs as well as LPNs.

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