Pay for Performance has been a part of the healthcare landscape since the implementation of the ACA in 2010. Even before that time, CMS was working toward reimbursement based on value versus volume. As hospitals struggle with decreasing reimbursement from fee for service and DRG’s, many payers have moved to either bonus pay or penalties to reward high quality and safe care. Jeffrey and Debra use data analytics to assess the impact of Value Based Purchasing, Healthcare Acquired Conditions and Readmission rates on an organization’s overall financial performance. This includes prioritizing initiatives to improve patient safety and cost of care, leading to improved quality, increased efficiency and greater value  for the patient and organization. The following articles and presentations relate specifectly to value based care initiatives. 

JOURNAL ARTICLES: 

Harrison J.P, Hamadi H.Y, Zhao J, Harrison D. (2026). Evaluation of the Quality and Efficiency of Nursing Home Services in the United States using the Nursing Home Star Rating System. J Mod Nurs Pract Res, 2026; 6(1): 2. DOI: 10.53964/jmnpr.2026002.

Harrison, J.P., Harrison, D.A., & Harrison, L.O. (2022). Does the efficiency frontier of large US hospitals provide a strategy for future success? International Journal of Nursing and Health Care Research, 5(1306). DOI: 10.29011/2688-9501.101306.

Harrison, Jeffrey P., Debra A. Harrison, Robert Howey and Raymond Walters. “Is Value Based Purchasing the New Reality in Healthcare?” Journal of Health Care Finance. May 2017. 

Coley, K., Harrison, D., Wright, K. & Yoder, A. (2014). Outcomes of a Safe Patient Handling Program Implementation. American Journal of Safe Patient Handling Management, 4(4), 112-119.
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Harrison, Jeffrey P., Lambiase, Louis and Mei Zhao. “Organizational Factors Associated with Quality of Care in US Teaching Hospitals” Journal of Health Care Finance.  36(3): 1-12, 2010. 

Harrison, Jeffrey P., and Radcliffe, Kim.   “Evidence Based Medicine as a Strategy for Quality Improvement” International Journal of Public Policy. 5(2/3): 137-146, 2010.

PRESENTATIONS: 

Preparing Future Leaders for Healthcare’s Challenges, Thiemann, K, J Harrison, M. Zhao. AUPHA Annual Meeting 2025, Columbus, OH, June 18, 2025.

Quality & Performance Improvement. Harrison, J. ACHE Florida Chapters’ Board of Governors Fellowship Exam Prep Course. Winter Garden, FL, October 14, 2023. 

Value Based Care, Is This the New Reality and are You Ready, Harrison, J., and Harrison, D., Spring Managed Care Forum, sponsored by The American Association of Integrated Delivery Systems, Orlando FL. April 27, 2017.

VALUE BASED CARE