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Shoemaker's Article Summary

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Shoemaker’s article (Shoemaker, 2012) reviews the effect of Medicare’s total performance score (TPS) portion of value based purchasing (VBP) on hospital costs. The study reviewed over 3,000 hospital. The hospitals were divided into quartiles of the lowest to the highest TPS scores. The hospitals were specifically evaluated for non-clinical costs. The evaluation included labor and non-labor costs. The study included medical , surgical, and intensive care patients The Patient Experience of Care (PEOC) domain of the TPS score was used to evaluate the environmental costs. Shoemaker did compare system hospitals to independent hospitals. Shoemaker’s study showed the 871 to quartile hospitals 9TPS score 48-100) had the highest cost. This included
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