A Retrospective Study: Do Hospital Length of Stay, Direct Variable Cost, and 30-Day Readmission Differ With the Implementation of the Rothman Index?

Date of Award


Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Chairperson

Anne M. Barker EdD, RN

Committee Member

Kerry Milner DNSC, RN

Committee Member

Joan Rimar DNSc, RN


The trend of an acutely ill patient's general condition is not always clearly evident. Medical errors, misjudgments, use of inappropriate resources and preventable deaths can occur. Clinical decision-making in acute care is difficult due to increasing acuity, many involved clinicians, and massive quantities of patient data and information.


A Practice Dissertation. Presented to the Faculty of the Department of Nursing, College of Health Professions, Sacred Heart University. In partial fulfillment of the requirements for the degree of Doctor of Nursing Practice By Karen M. Banoff, MPA, RN, March 26, 2013.