Comparison of US accredited and non-accredited rural critical access hospitals

Lutfiyya, M. Nawal; Sikka, Amrita; Mehta, Sona; Lipsky, Martin S.

doi:10.1093/intqhc/mzp003

Cited by 54 publications

(40 citation statements)

References 19 publications

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“…A total of 42 studies examined the development and impacts of accreditation programmes 3 6 21 25 26 29–31 51 54 55 57 59–61 64 66 70 71 73 75 80–82 84 86 88 93 96 98 100–109 122 128. A combination of positive, negative and neutral impacts were identified (see table 4).…”

Section: Resultsmentioning

confidence: 99%

Narrative synthesis of health service accreditation literature

et al. 2012

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Due to the limitations of the literature, it is not prudent to make strong claims about the effectiveness of health service accreditation. Nonetheless, several critical issues and knowledge-gaps were identified that may help stimulate and inform discussion among healthcare stakeholders. Ongoing effort is required to build upon the accreditation evidence-base by using high quality experimental study designs to examine the processes, effectiveness and financial value of accreditation programmes and their critical components in different healthcare domains.

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Section: Resultsmentioning

confidence: 99%

Narrative synthesis of health service accreditation literature

et al. 2012

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“…However, notwithstanding the commonly accepted perceptions by governments (El-Jardali et al, 2008) and healthcare professionals (Diab, 2011;El-Jardali et al, 2008) on the benefits of accreditation; existing evidence is either modest Lutfiyya et al, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 r n a l o f H e a l t h O r g a n i z a t i o n a n d M a n a g e m e 3 2009) or inconclusive (Bogh et al, 2015;Braithwaite et al, 2010;Dean Beaulieu and Epstein, 2002;Greenfield and Braithwaite, 2008;Miller et al, 2005;Shaw et al, 2010;Thornlow and Merwin, 2009), particularly regarding its impact on the quality of care. For example, findings from a study of 216 state psychiatric hospitals in the U.S. revealed a weak association between accreditation and the seven indicators of quality of care selected (average cost per patient, per diem bed cost, total staff hours per patient, clinical staff hours per patient, percent of staff hours provided by medical staff bed turnover, and percent of beds occupied) (Hadley and McGurrin, 1988).…”

Section: Introductionmentioning

confidence: 99%

The impact of accreditation on healthcare quality improvement: a qualitative case study

Melo

2016

JHOM

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Journal of Health Organization and Management r n a l o f H e a l t h O r g a n i z a t i o n a n d M a n a g e m e1 The impact of accreditation on healthcare quality improvement: a qualitative case study Abstract PurposeResearch on accreditation has mostly focused on assessing its impact using large scale quantitative studies, yet little is known on how quality is improved in practice through an accreditation process. Using a case study of an acute teaching hospital in Portugal, the article aims at exploring the dynamics through which accreditation can lead to an improvement in the quality of healthcare services provided. Design/methodology/approachData for the case study was collected through 46 in-depth semi-structured interviews with 49 clinical and non-clinical members of staff. Data were analysed using a framework thematic analysis. FindingsInterviewees felt that hospital accreditation contributed to the improvement of healthcare quality in general, and more specifically to patient safety, as it fostered staff reflection, a higher standardization of practices, and a greater focus on quality improvement. However, findings also suggest that the positive impact of accreditation resulted from the approach the hospital adopted in its implementation as well as the fact that several of the procedures and practices required by accreditation were already in place at the hospital, albeit often in an informal way. Research limitations/implicationsThe study was conducted in only one hospital. The design of an accreditation implementation plan tailored to the hospital's context can significantly contribute to positive outcomes in terms of quality and patient safety improvements. Originality/valueThis study provides a better understanding of how accreditation can contribute to healthcare quality improvement. It offers important lessons on the factors and processes that potentiate quality improvements through accreditation.

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“…A comparison of rural critical access hospitals in the USA (19) found that accredited hospitals showed significant advantage over non-accredited hospitals in 4 out of 16 clinical indicators but noted that, in a sector where only one third of hospitals seek accreditation, self-selection and motivation could explain much of this advantage.…”

Section: Controlled Studiesmentioning

confidence: 99%