ArticleHospital Value-Based Purchasing The Association Between Patient Experience and Clinical OutcomeHaley, D. Rob PhD, MBA, MHS; Hamadi, Hanadi PhD, MS; Zhao, Mei PhD, MHA; Xu, Jing PhD, MHA; Wang, Yi BSAuthor Information Author Affiliations: Health Administration Programs, Public Health Department, Brooks College of Health, University of North Florida, Jacksonville. The authors have no funding or conflicts of interest to disclose. Correspondence: D. Rob Haley, PhD, MBA, MHS, Health Administration Programs, Public Health Department, Brooks College of Health, University of North Florida, 1 UNF Dr, Jacksonville, FL 32224 (email@example.com). The Health Care Manager: October/December 2017 - Volume 36 - Issue 4 - p 312–319 doi: 10.1097/HCM.0000000000000183 Buy Metrics Abstract The Affordable Care Act of 2010 introduced a Hospital Value-Based Purchasing Total Performance Score for payment purposes and to evaluate hospital quality of care. In fiscal year 2016, Total Performance Score was composed of (1) Clinical Processes of Care, (2) Patient Experience of Care, (3) Outcome, and (4) Efficiency domains. The objective of this study was to examine the association between the Patient Experience of Care and Outcome domains. The Donabedian model of structure, process, and outcome was used as a conceptual framework for this study. Data from the 2015-2016 Area Health Resource File, the 2016 American Hospital Association database, and the 2016 Hospital Value-Based Purchasing were used. Univariate, bivariate, and multivariate analyses were conducted to examine the impact of patient experience on outcome of care and hospitals. From a sample of 1866 hospitals across the United States, patient experience was significantly and positively associated with patient outcome. In addition, for-profit hospitals, hospitals with more beds, nonteaching hospitals, and hospitals located in less competitive markets were found to have a significant association with better outcomes. The study’s findings are important as policy makers consider additional or alternative indicators that may better represent and encourage higher quality of care within acute care hospitals. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.