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Being on the Productivity Frontier: Identifying “Triple Aim Performance” Hospitals

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  • Aleda Roth
  • Anita L. Tucker
  • Sriram Venkataraman
  • Jon Chilingerian

Abstract

Hospital decision‐makers face trade‐offs that make it difficult to obtain the trifecta of high performance on clinical quality, patient experience, and technical efficiency. We use the term “triple aim performance” (TAP) to refer to the simultaneous achievement of these three goals. Using datasets from 2010 and 2012 and data envelopment analysis, we identify about 20 triple aim performance hospitals in each year among U.S. acute care hospitals with at least 200 beds. We also examine factors that influence the probability of being a TAP hospital. We find that the percentage of physicians employed by the hospital has a positive and significant relationship with TAP, and that bed utilization rate has a positive relationship with technical efficiency, but a negative relationship with clinical quality and patient experience performance.

Suggested Citation

  • Aleda Roth & Anita L. Tucker & Sriram Venkataraman & Jon Chilingerian, 2019. "Being on the Productivity Frontier: Identifying “Triple Aim Performance” Hospitals," Production and Operations Management, Production and Operations Management Society, vol. 28(9), pages 2165-2183, September.
    • Handle: RePEc:bla:popmgt:v:28:y:2019:i:9:p:2165-2183
    DOI: 10.1111/poms.13019
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    Cited by:

    1. Onder, O. & Cook, W. & Kristal, M., 2022. "Does quality help the financial viability of hospitals? A data envelopment analysis approach," Socio-Economic Planning Sciences, Elsevier, vol. 79(C).
    2. Yiming Zhuang & Meltem Denizel & Frank Montabon, 2023. "Examining Firms’ Sustainability Frontier: Efficiency in Reaching the Triple Bottom Line," Sustainability, MDPI, vol. 15(11), pages 1-22, May.
    3. Kokko, Petra, 2022. "Improving the value of healthcare systems using the Triple Aim framework: A systematic literature review," Health Policy, Elsevier, vol. 126(4), pages 302-309.
    4. Mariam K. Atkinson & Soroush Saghafian, 2023. "Who should see the patient? on deviations from preferred patient-provider assignments in hospitals," Health Care Management Science, Springer, vol. 26(2), pages 165-199, June.
    5. Thorsen, Maggie & McGarvey, Ronald & Thorsen, Andreas, 2020. "Diabetes management at community health centers: Examining associations with patient and regional characteristics, efficiency, and staffing patterns," Social Science & Medicine, Elsevier, vol. 255(C).
    6. Yingchao Lan & Deepa Goradia & Aravind Chandrasekaran, 2022. "Ancillary Cost Implications of Physicians Multisiting and Inter‐Organizational Collaboration During Healthcare Delivery," Production and Operations Management, Production and Operations Management Society, vol. 31(2), pages 561-582, February.

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