Health services accreditation: what is the evidence that the benefits justify the costs?

Mumford, Virginia; Forde, Kevin; Greenfield, David; Hinchcliff, Reece; Braithwaite, Jeffrey

doi:10.1093/intqhc/mzt059

Cited by 65 publications

(57 citation statements)

References 29 publications

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“…However, we are not aware of any formal economic evaluation in the literature, which is confirmed by Mumford et al [6] who conducted a systematic review on the use of economic evaluation techniques in connection with health services accreditation. Nevertheless, there exist different attempts to analyze the impact of hospital accreditation that are mainly based on meta-analyses, single cost or benefit studies.…”

Section: Related Literaturementioning

confidence: 84%

“…The order of the other benefits is: [3] fulfillment of the hospital vision, [4] improved image upon stakeholders (patients, suppliers etc. ), [5] improved image in policy, [6] quality dashboard, [7] preparation of centralized quality documents, and [8] avoidance of liability cases.…”

Section: Improvement Of the Meetings Of The Complication Boardmentioning

confidence: 99%

“…In this regard, accreditation programs aim to improve the quality of care [5]. On the downside, achieving accreditation generates significant expenditures [6]. And whether accreditation contributes to a quality improvement is still controversial.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

2016

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Background: Accreditation of hospitals and other institutions is a widely used instrument for the quality assurance in health care. However, relevant literature regarding the economic evaluation of hospital accreditation is still missing. To date no formal Cost-Benefit Analysis (CBA) or Cost-Utility Analysis (CUA) has been carried out. Methods: This study uses an existing framework specifically developed for the economic evaluation of hospital accreditation. Based on this framework, we identify and quantify the costs and selected benefits of the re-accreditation of a Swiss acute care hospital. Costs are identified and quantified by conducting key informant and expert interviews. Benefits are identified by hospital experts and rated using a newly developed validation tool. Results: Costs of the re-accreditation amount to about CHF 870'000 (internal and external costs). Benefits in quality management (QM) and in the critical incident reporting system (CIRS) are quantified and rated by the hospital experts in the following order: (1) development or promotion of a quality or safety culture, (2) implementation of a hospital-wide complaint management, (3) fulfillment of the hospital vision, (4) improved image upon stakeholders (patients, suppliers etc.), (5) improved image in policy, (6) quality dashboard, (7) preparation of centralized quality documents, and (8) avoidance of liability cases. Conclusion: This study provides detailed information about costs and selected benefits associated with the re-accreditation of a Swiss acute care hospital. As opposed to the costs, benefits could not be monetized but were quantified using an expert rating to illustrate the impacts of the re-accreditation. Overall, our study confirms the difficulties in the economic evaluation of hospital accreditation, but it makes a step towards a formal CUA.

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Section: Related Literaturementioning

confidence: 84%

Section: Improvement Of the Meetings Of The Complication Boardmentioning

confidence: 99%

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Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

2016

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“…In view of matters previously explained, we can mention that the benefits of accreditation deserve to be continuously problematized, or further clarified, if they are indeed the result of this system, since the certification process is widely known to be expensive 16 . As a result, some Australian researchers have concluded that there is an imminent need to foster new studies oriented toward the evaluation of costs in relation to the benefits of accreditation, which implies in a formal economic assessment of the certification process in the light of its little explored benefits 17 . In the explanation of this category, quality managers considered that accreditation represents a worthwhile system for management and quality of hospital care.…”

Section: So All That We Have Developed [In the Accreditation Processmentioning

confidence: 99%

Benefits and difficulties in the implementation of hospital accreditation: The voice of quality managers

Oliveira¹,

Matsuda²

2016

Escola Anna Nery - Revista De Enfermagem

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Objective: To learn the perceptions of hospital quality managers about the benefits and difficulties that arise from accreditation. Methods:A descriptive, qualitative and exploratory study was developed with five quality managers from hospitals of each of the three levels of national accreditation and one which lost its accreditation. Taped interviews were carried out with the participants, which were guided by the question: Tell us about the benefits and difficulties to obtain and maintain hospital accreditation.Transcribed data were submitted to thematic content analysis. Results: Categories of "benefits" and "difficulties" related to accreditation were created, each of them with two specific subcategories. Conclusion: In spite of the barriers related to the organizational culture and staff turnover, accreditation was mentioned by managers as beneficial to the quality of management and care because, through the standardization of processes and user centralization, the provision of care services is focused on quality.Keywords: Hospital accreditation; Quality management; Hospital administration; Health manager; Nursing. resumoObjetivo: Apreender as percepções de gestores da qualidade hospitalar quanto às vantagens e dificuldades advindas da Acreditação. Métodos: Pesquisa descritivo-exploratória, qualitativa. Participaram cinco gestores de hospitais relacionados em cada um dos três níveis de certificação de Acreditação nacional e de um hospital que perdeu tal título. Aos participantes, fez-se entrevista gravada e norteada pela questão: Conte-me sobre as vantagens e dificuldades de obter e manter a certificação pela Acreditação. Os dados transcritos foram submetidos à Análise de Conteúdo, modalidade temática. Resultados: Foram apreendidas categorias referentes às "vantagens" e às "dificuldades" relacionadas à Acreditação, cada qual com duas subcategorias pontuais. Conclusão: Apesar de empecilhos relacionados à cultura organizacional e à rotatividade de pessoal, a Acreditação foi apontada pelos gestores como vantajosa à qualidade do gerenciamento e também da assistência porque, por meio da padronização dos processos e centralização do usuário no cuidado, a assistência é gerenciada para a qualidade.Palavras-chave: Acreditação hospitalar; Gestão da qualidade; Administração hospitalar; Gestores de saúde; Enfermagem. resumen Objetivo: Comprender las percepciones de los gestores de la calidad del hospital sobre las ventajas y las dificultades derivadas de la Acreditación. Métodos: Estudio descriptivo y exploratorio, cualitativo. Cinco participantes gerentes asociados hospitales en cada uno de los tres niveles de certificación Acreditación Nacional y un hospital que ha perdido este título fueron entrevistados.Los datos transcritos fueron sometidos a análisis de contenido, modalidad temática. Resultados: Categorías fueron incautados en relación con "beneficios" y "dificultades" relacionadas con la acreditación, cada uno con dos subcategorías específicas.Conclusión: A pesar de los obstáculos relacionados con la cul...

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“…In the case of credit rating agencies, recent research see their foundation as a necessary consequence of the expansion of credit markets and the need of investors to manage increasing uncertainty (Alcubilla et al 2012;Langohr and Langohr 2010;Carruthers 2013;Olegario 2003). In both cases, only a few agencies and their ratings came to dominate each field, even though there was not a lot of widespread evidence for their value and contribution to improving the performance of the regulated organizations (Carruthers 2013;Mumford et al 2013). Furthermore, state involvement through the use of these agencies' ratings for regulatory purposes was a very important factor in shaping both settlements.…”

Section: Accrediting Agencies For Healthcare Organizationsmentioning

confidence: 99%

The Private Roots and Public Branches of Regulation-by-Information: Understanding The Legal Incorporation of Rating in Finance and Accreditation in Healthcare (1900s-1970s)

Gjata

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This dissertation lies at the intersection of economic sociology, political sociology, and organizational sociology, and examines broadly, the emergence and transformation of regulationby-information-a form of regulating producers through information products without specifying enforcement mechanisms. Existing scholarship emphasizes the effects and effectiveness of regulation-by-information above all. It neglects the processes through which regulation-by-information emerged and changed through time, and consequently, it fails to conceptualize and explain this kind of regulation. This dissertation addresses these gaps by tracing the evolution of two systems of regulation-by-information and their operators: rating and securities rating agencies in finance, and accreditation and hospital accreditation organizations in healthcare, in the United States. Using theories on the state regulation of industries and theories of institutionalization, and data on congressional records and hearings about the legal recognition of certain private rating and accreditation organizations, organizational histories and accounts, examinations of industry publications, and newspaper articles, I examine the emergence of securities rating and hospital accreditation as mainly private enterprises and their transformation into increasingly public endeavors, culminating with the legal incorporation of their sources.This study traces the history of legal incorporation to reveal the political and cultural struggles surrounding the emergence and transformation of regulation-by-information. I argue and show that the organizational identity work of rating agencies and accreditation organizations-how they presented their product and themselves-contributed to their successful institutionalization, their regulatory power, and their selection for incorporation into government rules and regulations. 3 ACKNOWLEGEMENTSThere are several beings that helped me complete this dissertation in the form I present it to you, dear reader. They gave me enough strength and confidence to find, embrace, and materialize my voice as a researcher into writing.First of all, I am deeply thankful for my advisor Elizabeth H. Gorman. Thanks to her frank, practical, meticulous, and constructive feedback and her open-minded support during most of my time as a graduate student, I was able to complete this work. This dissertation would not be possible without her guidance and encouragement. She was the best advisor for me: one that would always know how to communicate with me, energize my work, and whom I trusted fully.I must also thank my committee members: Simone Polillo for providing an example with his work for the kind of research I wanted to do and where I wanted to be within the discipline of sociology-at the intersection of comparative, historical, economic and political sociology, andAdam Slez who would always engage constructively and enthusiastically with my work.

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Health services accreditation: what is the evidence that the benefits justify the costs?

Cited by 65 publications

References 29 publications

Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

Analysis of costs and benefits of a re-accreditation of a Swiss acute care hospital

Benefits and difficulties in the implementation of hospital accreditation: The voice of quality managers

The Private Roots and Public Branches of Regulation-by-Information: Understanding The Legal Incorporation of Rating in Finance and Accreditation in Healthcare (1900s-1970s)

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