Date of Award


Document Type


Degree Name

Doctor of Business Administration (DBA)


School of Business

First Advisor

Dr. Paul Shelton, Ph.D.

Second Advisor

Dr. Justine Haigh, Ph.D.

Third Advisor

Dr. Barbara Archer, DPA.


This study examines the effectiveness of management decisions with implementing electronic health record’s initiatives through the Health Information Technology for Economic and Clinical Health Act of 2009. Specifically, this research explores attested stages of Meaningful Use with impacts on profitability, costs, and financial liquidity in Washington State Critical Access Hospitals through an analysis of ratios and financial measures. These facilities are often anchors supporting local economic growth, and a closure can bring financial hardship throughout the community. There is a need in critical access hospital markets to establish a relationship between management decisions investing in new technologies coordinating patient care and understanding the long-term financial impact to mitigate risks of insolvency. For this study, a descriptive statistical analysis and a t-test are used to assess the differences between financial indicators and ratios. A t-test examined each hypothesis, supporting a conclusion that there is not a statistically significant difference between pre-Stage 2 Meaningful Use and post attestation of Stage 2 Meaningful Use in Washington State Critical Access Hospitals.

Included in

Business Commons