Saudi Cultural Missions Theses & Dissertations
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Item Restricted The role of financial performance analysis in strategic planning in healthcare evidence from king faisal specialist hospital and research(Brunel University, 2025) Abdallah, Laila; Shaukat, AmamaThis dissertation explores the role of financial performance analysis in strategic planning within the healthcare sector, focusing on King Faisal Specialist Hospital and Research Centre. Using a quantitative research approach, it examines how financial literacy, leadership competency, and key performance indicators influence decision-making, resource allocation, and operational efficiency. The study identifies challenges in data accessibility and utilization and highlights the importance of integrating financial insights into healthcare strategy. Findings support the need for enhanced financial education and technology adoption to strengthen planning processes and improve long-term sustainability, organizational resilience, and patient care outcomes.11 0Item Restricted Influence of Participation in the BPCI-A Initiative on 30-Day Heart Failure Unplanned Readmission Rates Among U.S. Hospitals(University of Texas Health Science Center at Houston, 2025) Balhareth, Ibrahim Ali; Linder, StephenBackground: The Bundled Payments for Care Improvement Advanced (BPCI-A) initiative incentivize participating hospitals if they achieved less than the target spending amount for the selected condition and penalizes them if they exceeded the target. The BPCI-A program aims to enhance care quality and reduce spending. One of the quality measures targeted by BPCI-A is hospital readmissions. Heart failure is one of the leading causes of hospital readmission effectiveness of BPCI-A in reducing cardiac-related readmissions, particularly for heart failure, and the influence of hospital characteristics on program outcomes remain uncertain. This series of studies comprehensively evaluated the impact of BPCI-A on heart failure readmission rates. Methods: First, a scoping review was conducted to synthesize the existing literature on hospital characteristics, BPCI-A participation, and associated readmission outcomes, specifically focusing on cardiac care. Subsequently, a second study utilizing a propensity score matching (PSM) with national hospital-level datasets compared the baseline characteristics and readmission outcomes between hospitals participating in the program and a matched group of their counterparts that never participated in the program. Lastly, a retrospective matched-cohort study was conducted to validate the findings from the second study by evaluating whether participation in the BPCI-A program influenced 30-day heart failure readmissions, including subgroup analyses by hospital size, ownership, and teaching status, using weighted regression modeling and interaction analyses. Results: The scoping review revealed limited effectiveness of BPCI-A in reducing cardiac-related readmissions broadly, emphasizing existing disparities among hospitals. Empirical findings from Journal Article 2 demonstrated significant baseline differences: BPCI-A hospitals were larger, urban, teaching-oriented, and for-profit institutions. Post-matching analyses indicated a modest but significant association between BPCI-A participation and reduced heart failure readmissions (4.1 percentage points lower, p<0.001). Confirmatory analyses from Journal Article 3 validated these results, showing a 4.2 percentage-point reduction in readmissions associated with participation, with substantial heterogeneity by hospital characteristics. Small, public, and non-teaching hospitals benefited disproportionately from participation. Conclusion: Participation in BPCI-A is modestly associated with lower heart failure readmission rates, especially among hospitals historically disadvantaged by resource constraints. However, BPCI-A alone appears insufficient to eliminate persistent disparities or achieve substantial reductions universally. Future bundled payment policies must be tailored to hospital contexts, address under-resourced institutions by providing targeted support to enhance equity and effectiveness in reducing heart failure readmissions.32 0