A Study of Incentives to Support and Promote Public Health Accreditation

Abstract

Context Accreditation of public health agencies through the Public Health Accreditation Board is voluntary. Incentives that encourage agencies to apply for accreditation have been suggested as important factors in facilitating participation by state and local agencies. Objective The project describes both current and potential incentives that are available at the federal, state, and local levels. Design Thirty-nine key informants from local, state, tribal, federal, and academic settings were interviewed from March through May 2012. Through open-ended interviews, respondents were asked about incentives that were currently in use in their settings and incentives they thought would help encourage participation in Public Health Accreditation Board accreditation. Results Incentives currently in use by public health agencies based on interviews include (1) financial support, (2) legal mandates, (3) technical assistance, (4) peer support workgroups, and (5) state agencies serving as role models by seeking accreditation themselves. Key informants noted that state agencies are playing valuable and diverse roles in providing incentives for accreditation within their own states. Key informants also identified the Centers for Disease Control and Prevention and other players, such as private foundations, public health institutes, national and state associations, and academia as providing both technical and financial assistance to support accreditation efforts. Conclusions State, tribal, local, and federal agencies, as well as related organizations can play an important role by providing incentives to move agencies toward accreditation.

Understanding the Evolution of Health Service Accreditation Research: A Literature Review From 2012 to 2015

“…For the group 'others', no more than five articles were identified in the same source. (EMER et al, 2014;HAGOS et al, 2014;THIELEN et al, 2014b;MORAN, 2014;WALKER, 2014;WETTA et al, 2014;HOTCHKISS, 2014;LAFRANCE, 2014;MARONE et al, 2014;MARSHALL, 2014;MARSHALL et al, 2014;MONTEIRO et al, 2014;RICCARDO;PARENT;DESALVO, 2014;THIELEN et al, 2014a) were from issue number 20, since the theme of its January 2014 20th anniversary issue was "Transforming Public Health Practice Through Accreditation". (NOVICK, 2014) Additionally, it is worth highlighting, despite being a special issue, the total number of publications concerning accreditation was close to its highest in 2014.…”

“…Overall, 23 studies explored how the activity of preparing and undergoing accreditation promotes change in health organizations (MCHUGH et al, 2013;CAUNDAY et al, 2013;CHUANG;HOWLEY;HANCOCK, 2013;DAY et al, 2013;DERIU et al, 2013;HOTCHKISS, 2014;LAFRANCE, 2014;MARONE et al, 2014;MARSHALL et al, 2014;MONTEIRO et al, 2014;RICCARDO;PARENT;DESALVO, 2014;THIELEN et al, 2014aTHIELEN et al, , 2014bMORAN, 2014;WALKER, 2014;WETTA et al, 2014;EL-JARDALI et al, 2014;EMER et al, 2014;HAGOS et al, 2014;ANDIRIC;MASSAMBU, 2015;CARMAN;TIMSINA, 2015;LAYMON et al, 2015). Several change mechanisms were identified.…”

Avaliação do impacto dos programas de acreditação nas instituições de saúde brasileiras: contribuições de um estudo bibliométrico e de uma pesquisa de avaliação.

“…Apesar do primeiro artigo identificado ter sido publicado em 1983 (HINCHCLIFF et al, (EMER et al, 2014;HAGOS et al, 2014;THIELEN et al, 2014b;MORAN, 2014;WALKER, 2014;WETTA et al, 2014;HOTCHKISS, 2014;LAFRANCE, 2014;MARONE et al, 2014;MARSHALL, 2014;MARSHALL et al, 2014;MONTEIRO et al, 2014;RICCARDO;PARENT;DESALVO, 2014;THIELEN et al, 2014a) Uma série de relatos de casos descreveu como os departamentos de saúde têm se preparado para a acreditação; discutiu a dependência mútua entre acreditação, melhoria da qualidade e do desempenho do departamento de saúde; e demonstrou os muitos vínculos entre a acreditação e outras iniciativas de saúde pública (BEITSCH et al, 2014).…”

“…Dez artigos identificaram impactos positivos (CHABANNON et al, 2012;GUINDO et al, 2012;CASTLE, 2012b;ABOU ELNOUR et al, 2014;AGHEORGHIESEI et al, 2014;GRATWOHL et al, 2014;GARG;NGUYEN, 2014;PARTHASARATHY;SUBRAMANIAN;QUAN, 2014;SISAY et al, 2015;TELEM et al, 2015). Por exemplo, foi observado um aumento significativo de 14% na sobrevida dos pacientes com leucemia crônica que receberam um transplante alogênico (transplante de células-tronco hematopoéticas) em um programa acreditado, em comparação com aqueles tratados em um programa não-acreditados (CHABANNON et al, 2012 (MCHUGH et al, 2013;CAUNDAY et al, 2013;CHUANG;HOWLEY;HANCOCK, 2013;DAY et al, 2013;DERIU et al, 2013;HOTCHKISS, 2014;LAFRANCE, 2014;MARONE et al, 2014;MARSHALL et al, 2014;MONTEIRO et al, 2014;RICCARDO;PARENT;DESALVO, 2014;THIELEN et al, 2014aTHIELEN et al, , 2014bMORAN, 2014;WALKER, 2014;WETTA et al, 2014;EL-JARDALI et al, 2014;EMER et al, 2014;HAGOS et al, 2014;ANDIRIC;MASSAMBU, 2015;TIMSINA, 2015;…”

“…Com relação a avaliação dos 'mecanismos de mudanças', os nove itens avaliados foram validados pelos respondentes que já possuem a acreditação, corroborando assim para os resultados encontrados na revisão da literatura de que estas atividades promovem mudanças na organização (MCHUGH et al, 2013;CAUNDAY et al, 2013;CHUANG;HOWLEY;HANCOCK, 2013;DAY et al, 2013;DERIU et al, 2013;MONTEIRO et al, 2014;RICCARDO;PARENT;DESALVO, 2014;THIELEN et al, 2014aTHIELEN et al, , 2014bMORAN, 2014;WALKER, 2014;WETTA et al, 2014;EL-JARDALI et al, 2014;EMER et al, 2014;HAGOS et al, 2014;ANDIRIC;MASSAMBU, 2015;TIMSINA, 2015;LAYMON et al, 2015 Este resultado evidencia que a acreditação conduz as instituições a implantação de melhores práticas para gerenciamento da qualidade e segurança do paciente. Além disso, considerando que há uma convergência entre a acreditação e outros modelos de qualidade, tais como o modelo de excelência EFQM e a norma ISO 9000, esses resultados sugerem que a acreditação viabiliza a implantação de práticas de gerenciamento consolidadas em outros setores.…”