Improving hospital performance requires a multifaceted approach that addresses clinical and business aspects. By enhancing outcomes, reducing costs, optimizing payment structures, and improving the overall patient experience, hospitals can achieve comprehensive improvement. There are clinical solutions such as implementing evidence-based practices, (EBPs) to ensure that clinical interventions are grounded in the best available research. This can lead to improved patient outcomes and safety (Institute of Medicine, 2001). Focusing on patient-centered care involves engaging patients in decision-making, enhancing communication, and considering their preferences thus increasing patient satisfaction (Epstein et al,2010). Another service that contributes to better outcomes and patient satisfaction is telehealth and remote monitoring, implementing telehealth service es and remote monitoring can enhance access to care, reduce hospital readmissions, and improve chronic disease management (Mehrotraet al.,2013). There are also business solutions such as the value-based care model; transitioning to a value-based care model, such as accountable care organizations ( ACOs) or bundle payment systems, aligns financial incentives with improved outcomes, fostering cost-effective and high-quality care (Conrad