13. Risk Assessment and Management to Estimate and Improve Hospital Credibility Score of Patient Health Care Quality

The purpose of this chapter is to study how to assess patient-centered health-care quality and as a follow-up, how to mitigate the unwanted risk to a tolerable level, through automated software utilizing game-theoretic risk computing. Chapter overall seeks methods about how to improve patient-centered quality of care in the light of uncertain nationwide health care quality mandate to disseminate and utilize results for the “most bang for the buck”. A patient-centered composite ‘credibility’ or ‘satisfaction’ score is proposed for the mutual benefit of patients seeking quality care, and hospitals delivering the promised healthcare, and insurance companies facilitating a financially accountable healthcare. Patient-centered quality of care risk assessment and management are inseparable aspects of health care in a hospital, yet both are frequently overlooked. In Alabama State, a 2004 study by the Kaiser Family Foundation found substantial dissatisfaction with the quality of health care. In response to whether they were dissatisfied with the quality of healthcare, 44 % of Latinos, 73 % of Blacks, and 56 % of Whites said “Yes”. When asked whether health care has gotten worse in the prior five years prior, 39 % of Latinos, 56 % of Blacks, and 38 % of Whites reported dissatisfaction.