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Examining the relationship between hospital ownership and population health efforts.

PURPOSE: The purpose of this paper is to investigate the relationship between ownership type and population health initiatives adopted by hospitals using the 2015 American Hospital Association data.

DESIGN/METHODOLOGY/APPROACH: Hospitals of various sizes, ownership structures and geographic locations are represented in the survey. The outcome variables of interest include measures of hospital population health activities.

FINDINGS: Findings indicate that nonprofit hospitals are most likely to express commitment to population health and participate in population health activities, with for-profit hospitals being least likely. Implications for policy and practice are discussed.

RESEARCH LIMITATIONS/IMPLICATIONS: This study demonstrates that discrepancies in population health approaches exist across ownership status - particularly, nonprofit hospitals appear to be the most likely to be involved in population health efforts.

PRACTICAL IMPLICATIONS: As we continue to push for population health management in the hospital setting, grappling with the definition and purpose of population health management will be essential.

SOCIAL IMPLICATIONS: Overall, these results suggest that nonprofit hospitals are more likely to be implementing population health efforts than for-profit or government-owned hospitals.

ORIGINALITY/VALUE: Although there are several studies on population health in hospitals, this study is the first to investigate the relationship between ownership type and population health initiatives adopted by hospitals.

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