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Military Hospital Spending on Environmental Services and Inpatient Satisfaction Ratings
Michelle Kloc1, Tara Trudnak Fowler, Joseph F Dorris
1managing consultant, The Lewin Group, Falls Church, Virginia deputy director, Center for Military and Veterans Health, Altarum Institute, Washington, DC senior analyst, Center for Military and Veterans Health, Altarum Institute director of program review and evaluation, Health Resources, Management and Policy Office of the Assistant Secretary of Defense for Health, Washington, DC senior health care research analyst, Defense Health Agency, Decision Support Division, Falls Church, Virginia.
Higher military hospital spending on environmental services (EVS) positively impacts inpatient satisfaction, particularly cleanliness. Increased EVS expenditures correlated with greater patient contentment.
Area of Science:
- Healthcare Management
- Hospital Operations
- Patient Experience Research
Background:
- Military hospitals face unique operational and budgetary challenges.
- Environmental Services (EVS) play a critical role in hospital hygiene and patient perception.
- Understanding the link between EVS investment and patient satisfaction is crucial for resource allocation.
Purpose of the Study:
- To evaluate the relationship between military hospital expenditures on Environmental Services (EVS) and inpatient satisfaction.
- To determine if increased EVS spending influences patient perceptions of hospital cleanliness and overall satisfaction.
Main Methods:
- Utilized Defense Health Agency TRICARE Inpatient Satisfaction Survey data (FY2011-2013).
- Incorporated military hospital EVS spending, workload, facility, and claims data.
- Performed multivariate logistic regression analysis for medical/surgical and obstetric product lines.
Main Results:
- A statistically significant positive association was observed between hospital EVS spending and inpatient satisfaction.
- Higher EVS expenditure levels generally showed a stronger correlation with patient satisfaction.
- Significant improvements in cleanliness satisfaction were linked to increased EVS financial investment.
Conclusions:
- Investing in Environmental Services (EVS) is a viable strategy to enhance inpatient satisfaction in military healthcare settings.
- Increased EVS spending demonstrably improves patient-reported cleanliness, a key driver of overall satisfaction.
- Resource allocation towards EVS can yield measurable improvements in the patient experience within military hospitals.
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