HLT 540 Grand Canyon Week 3 Assignment 1: Coyne and Messina Articles

HLT 540 Grand Canyon Week 3 Assignment 1: Coyne and Messina Articles

Details:

1) In a paper (1,000-1,250 words), compare and contrast the major elements of the reports by Coyne et al. and Messina et al., listed in the Module 2 Readings.

2) Complete the “Coyne and Messina Articles Analysis.” Study the information in the right-side column related to the Coyne, et al. study, which identifies the required elements as found in the reading. Complete the information for the Messina et al. article by identifying the required elements from the article.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

As an example guideline, review the study components in the left-side column of the table below. Read the study by Messina et al., and build the data in the right-side column with the key components in that study.

Research Question:

Coyne: Do size and ownership type make a difference in the efficiency and cost results of hospitals in Washington state? (Highlight p.164, second column, starting 15 lines from bottom to seven lines from bottom.)

Messina:

How did the research question emerge from the review of literature in the article?

Coyne:

Built on an earlier study by Coyne on performance differences between multi-facility systems and independent hospitals using two

HLT 540 Grand Canyon Week 3 Assignment 1 Coyne and Messina Articles
HLT 540 Grand Canyon Week 3 Assignment 1 Coyne and Messina Articles

cost measures. Cited studies that used a range of variables to measure differences in hospital performance, and noted that prior findings have been inconclusive in regard to hospital size, although economies of scale were found.

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Messina:

Independent Variables

Type:

Coyne:

Hospital size and hospital ownership structure.

Categorical

Messina:

Dependent Variables

Type:

Coyne:

Efficiency measures – continuous variables.

Cost measures – continuous variables.

Messina:

Design Elements

Quantitative vs. Qualitative
Sample Size
Method of sample selection
Experimental vs. control group?
Reliable and valid data instruments?
Coyne:

Quantitative 96

Picked all hospitals in state, except investor owned hospitals.

No

Used data that are commonly used to measure hospital efficiency and performance with high degrees of accuracy (reliable), and data that are historically used and make sense to other hospital users (valid).

Messina:

Describe analysis.

What statistics were used?

Coyne:

Two-way Analysis of Variance (ANOVA)

Messina:

Did the researchers’ conclusions make sense, did they answer the research question, and did they appear to flow from the review of the literature?

Did they explore control of extraneous variables?

Coyne:

They concluded that size and ownership type make a difference in reported levels of efficiency. Not for profits seem to achieve higher performance levels, and medium and large not for profits operate more efficiently than industry average. The same results were found for cost levels, in that size and ownership type do make a difference, with medium sized hospitals reporting lower costs than large or small hospitals.

Yes, when they called for national studies that controlled for case mix, scope of services, and payer mix, all of which could have affected the results in this study in an unmeasured way.

Details:

1) Write a paper of 1,000-1,250 words regarding the statistical significance of outcomes as presented in Messina’s, et al. article “The Relationship between Patient Satisfaction and Inpatient Admissions Across Teaching and Nonteaching Hospitals.”

2) Assess the appropriateness of the statistics used by referring to the chart presented in the Module 4 lecture and the resource “Statistical Assessment.”

3) Discuss the value of statistical significance vs. pragmatic usefulness.

4) Prepare this assignment according to the APA guidelines found in the APA Style Guide located in the Student Success Center. An abstract is not required.

5) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

HLT 540 Grand Canyon Week 5 Assignment 2

Coyne and Messina Articles Part 3 Spearman Coefficient Review

Details:

1) Write a paper (750-1,000 words) regarding the use of the Spearman rank correlation coefficient by Messina, et al. in “The Relationship between Patient Satisfaction and Inpatient Admissions Across Teaching and Nonteaching Hospitals,” listed in the module readings.

2) Comment on what variables were used; whether it answered the research question; and whether the Spearman rank correlation coefficient is appropriately used, given the requirements of the Spearman rank correlation coefficient.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.