Degree

Doctor of Philosophy (PhD)

Department

Engineering Science

Document Type

Dissertation

Abstract

This study applied a holistic method of healthcare program assessment, known as systems approach, to evaluate the efficacy of the East Baton Rouge Parish (EBRP) EMS Community-integrated Health Program (CIHP). The author developed assessment metrics following the Quadruple Aim Framework: IHI (Institute for Healthcare Improvement) Triple Aim + Provider Experience.

Results showed that the CP program in this study delivers high ratings on patient experience and provided a 51% return on investment (ROI) through reduced emergency service utilization, ED visits and inpatient hospital admissions. However, findings did not demonstrate meaningful improvement in patients’ health-related quality of life (HRQoL) and self-efficacy (SE). Nevertheless, provider (specially-trained EMS paramedics) experience from the mixed-methods assessment offers suggestions to improving the program, as well as insights into the barriers to healthcare access that are often encountered by the frequent ED user population.

Date

9-24-2019

Committee Chair

Ikuma, Laura

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