Quality programmes, accreditation and certification in Switzerland

Schilling, Julian; Cranovsky, Richard; Straub, Rolf

doi:10.1093/intqhc/13.2.157

Cited by 12 publications

(8 citation statements)

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“…The primary authority regulating and supervising human services resides at the cantonal level. The cantons (that is, the member states) thus set out and control the licensing conditions and related quality requirements (Schilling et al, 2001). In many cases, these specifications stipulate that nonprofits have an operating concept that includes, among other things, detailed information on the organization's quality management (SODK, 2011).…”

Section: Methodsmentioning

confidence: 99%

“…This leaves the service providers and their umbrella associations some discretion in deciding whether to adopt a generic quality model (such as ISO or EFQM) or whether to develop their own domain‐specific frameworks. As a consequence, there are a large number of different quality initiatives, with very diverse coverage, focus, standards, and enforcement regimes (Schilling et al, 2001).…”

Section: Methodsmentioning

confidence: 99%

“…In Switzerland, as in other European countries, a key part of the growing pressure for quality is that human service nonprofits are increasingly required by law or by regulations to employ management models aimed at achieving and improving the quality of services (Pfiffner, 2019; Schilling, Cranovsky, & Straub, 2001). Most organizations receive funding from cantonal or local governments, but function outside the public administration infrastructure.…”

Section: Theory and Hypothesesmentioning

confidence: 99%

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Measuring quality for human service improvement: How nonprofits meet the quality requirements of public authorities

Pfiffner

2020

Nonprofit Mgmnt & Ldrshp

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The growing pressure for service quality has led to an increase in the dissemination of quality models in nonprofit human service organizations. In spite of this, little is known about their implementation. The present study therefore examines how quality management directives imposed by public authorities affect the adoption and use of quality measurement systems under different sets of conditions. Key findings, based on survey data from 536 human service nonprofits in Switzerland, suggest that external quality requirements foster the adoption of measurement systems to the greatest degree, but simultaneously reduce their actual utilization for service improvement. The strength of these effects is contingent on the organizations' resources and the quality of indicators. Managers' commitment to quality measurement shows the strongest effect on the use of quality measurement systems. These findings and the implications for future research and practice will be discussed.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Theory and Hypothesesmentioning

confidence: 99%

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Measuring quality for human service improvement: How nonprofits meet the quality requirements of public authorities

Pfiffner

2020

Nonprofit Mgmnt & Ldrshp

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“…The term accreditation in Switzerland is often used to state an acceptance of organizations by associations or the state [16]. In the context of peer-review assessments, the term "certification" is more common.…”

Section: Accreditation Bodiesmentioning

confidence: 99%

“…In the United States, accreditation is a requirement for reimbursement by public health programs and over 85 % of the hospitals are accredited [2]. In Switzerland, the focus of this study, there are different accreditation programs in place, e.g., on the accreditation of entire hospitals, subdivisions or centers [16].…”

Section: Introductionmentioning

confidence: 99%

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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Explaining the accreditation process from the institutional isomorphism perspective: a case study of Jordanian primary healthcare centers

Alyahya

Hijazi

Harvey

2016

Health Planning & Management

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Quality programmes, accreditation and certification in Switzerland

Abstract: A lot of harmonization work still has to be done and clear branch specific requirements need to be agreed upon. Practicability and validity of external peer review schemes may also need further evaluation and improvement to reach the goals of health care systems in the future.

Cited by 12 publications

References 1 publication

Measuring quality for human service improvement: How nonprofits meet the quality requirements of public authorities

Measuring quality for human service improvement: How nonprofits meet the quality requirements of public authorities

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

Explaining the accreditation process from the institutional isomorphism perspective: a case study of Jordanian primary healthcare centers

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