All ETDs from UAB

Advisory Committee Chair

Nir Menachemi

Advisory Committee Members

Meredith Kilgore

Stephen O'Connor

Bisakha Sen

Robert Weech-Maldonado

Document Type

Dissertation

Date of Award

2013

Degree Name by School

Doctor of Philosophy (PhD) School of Health Professions

Abstract

Taken together, the purpose of the three papers included in this dissertation is to provide empirical evidence on the relationship between strategies employed by hospital managers and hospital financial performance. The findings of these studies are important to managers as they search for ways to sustain and improve hospital financial performance in light of environmental changes that have taken place over the last three decades. The results of this dissertation suggest that to improve financial performance hospital leaders (e.g. management, board of directors) should choose strategies that are more amenable to their control. Specifically, having BOD members that are independent from management is positively related to financial performance. Additionally, adopting an electronic health record (EHR) can improve financial performance for hospitals, but only through receiving incentive payments or meaningfully using them. Taken together, the findings of these studies will be beneficial to hospital leaders as they are making decisions about which strategies to pursue.

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