scholarly journals Hospital Accreditation: A Review of Evidence, Regulatory Compliance, and Healthcare Outcome Measures

2021 ◽  
pp. 1-8
Author(s):  
Khamis Al-Alawy ◽  
Immanuel Azaad Moonesar ◽  
Hanan Ali Mubarak Obaid ◽  
Ehab Ismail Al-Abed Bawadi ◽  
Reem Gaafar

<b><i>Background:</i></b> Hospitals are increasingly under pressure to provide safe and high-quality care at an affordable cost. In response to this challenge, many have adopted accreditation as an internationally recognized tool to facilitate improvements in healthcare quality and patient safety. The objectives of the study were to (a) evaluate the impact of international hospital accreditation in Dubai and (b) inform policy decision-making. <b><i>Methods:</i></b> We adopted a literature review, analysis of violation data, and clinical performance measures. <b><i>Results:</i></b> The literature review suggests insufficient evidence to link accreditation to healthcare outcomes. We report a gradual increase in hospital violations and an improvement of clinical outcomes over three years, however the improvement in clinical outcome measures were not statistically significant. <b><i>Conclusions:</i></b> There is limited evidence to determine the impact of international hospital accreditation. Performance measures for accreditation are needed to validate the contribution accreditation may have on reducing non-compliance and improving clinical performance measures. Further research is needed to explore how well accreditation models fit within the Donabedian framework for healthcare quality.

Contraception ◽  
2017 ◽  
Vol 96 (3) ◽  
pp. 149-157 ◽  
Author(s):  
Loretta Gavin ◽  
Brittni Frederiksen ◽  
Cheryl Robbins ◽  
Karen Pazol ◽  
Susan Moskosky

2020 ◽  
Vol 32 (8) ◽  
pp. 531-544 ◽  
Author(s):  
Claudia A S Araujo ◽  
Marina Martins Siqueira ◽  
Ana Maria Malik

Abstract Purpose To systematically review the impact of hospital accreditation on healthcare quality indicators, as classified into seven healthcare quality dimensions. Data source We searched eight databases in June 2020: EBSCO, PubMed, Web of Science, Emerald, ProQuest, Science Direct, Scopus and Virtual Health Library. Search terms were conceptualized into three groups: hospitals, accreditation and terms relating to healthcare quality. The eligibility criteria included academic articles that applied quantitative methods to examine the impact of hospital accreditation on healthcare quality indicators. Study selection We applied the PICO framework to select the articles according to the following criteria: Population—all types of hospitals; Intervention—hospital accreditation; Comparison—quantitative method applied to compare accredited vs. nonaccredited hospitals, or hospitals before vs. after accreditation; Outcomes—regarding the seven healthcare quality dimensions. After a critical appraisal of the 943 citations initially retrieved, 36 studies were included in this review. Results of data synthesis Overall results suggest that accreditation may have a positive impact on efficiency, safety, effectiveness, timeliness and patient-centeredness. In turn, only one study analyzes the impact on access, and no study has investigated the impact on equity dimension yet. Conclusion Mainly due to the methodological shortcomings, the positive impact of accreditation on healthcare dimensions should be interpreted with caution. This study provides an up-to-date overview of the main themes examined in the literature, highlighting critical knowledge-gaps and methodological flaws. The findings may provide value to healthcare stakeholders in terms of improving their ability to assess the relevance of accreditation processes.


Author(s):  
Khamis Al-alawy ◽  
Immanuel Azaad Moonesar ◽  
Hanan Ali Mubarak Obaid ◽  
Reem Gaafar ◽  
Ehab Ismail Al-Abed Bawadi

There are several hospital accreditors globally but there is limited understanding of how accreditation impacts on hospital performance and the health system objectives. The objective of the study were to explore the impact of hospital accreditation and inform policy decision-making. We adopted a mixed-methods approach to include an online survey and 3 focus groups. We report 27 of 36 private hospitals who responded to the survey. Key reasons for accreditation were to improve quality ( n = 23), implement evidence-based practice ( n = 17), continuity of accreditation ( n = 15), and popularity ( n = 11). Reported improvements include quality of care (27), patient care (26), organizational processes (21), and patient satisfaction (19) among others. Average stakeholder satisfaction rate was 74%. Participants from the 3 focus group discussions felt that staff hours and stress levels were high during the accreditation process, and some standards were useful while others were deemed non-essential. There was support for a local accreditation body with an emphasis on best practice. The findings from the study suggest accreditation to have an impact on structure and process measures, but the gains in key areas were short-lived. There is a need to strengthen governance and develop performance measures to evidence outcome improvement, assure alignment with regulation and the health system objectives.


2015 ◽  
Vol 16 (3) ◽  
pp. 211-233 ◽  
Author(s):  
Joseph Matthews

Purpose – The purpose of this paper is to explore a wide range of performance measures, while acknowledging that of late, outcome measures have become increasingly important. Several initiatives are underway to develop a broad framework and suggest approaches to developing outcome measures for all types of libraries. However, while outcomes may be increasingly used, determining the value of a specific outcome is complicated by the reality that value is determined by a combination of perspective and each individual experiencing a specific library service. Design/methodology/approach – This paper reviews the literature about outcomes and determining the value of outcomes as a foundation for exploring these two inter-related issues – outcomes and value. Findings – The findings of a number of reports and studies are reported. Originality/value – Separating the question of identifying the outcomes associated with library services and the value of these outcomes are shaped by the perspective of value and determining value will assist libraries in attempting to measure the impact of the services they provide.


Author(s):  
Gazala Khan

Patient satisfaction had been the center of many research studies globally. However, very few studies published had analyzed the impact of healthcare accreditation on patients’ satisfaction. Objective: To review and analyze the impact of hospital accreditation on patients’ satisfaction. Method: A comprehensive searches were conducted in the online databases of goggle scholars and research gate. Results: This review revealed that the hospital accreditation impacted on patients’ satisfaction in several departments. Conclusions: The hospital accreditation has a positive impact on patients’ satisfaction in several departments


2017 ◽  
Vol 6 (6) ◽  
pp. 20 ◽  
Author(s):  
Il-Tae Park ◽  
Yoen-Yi Jung ◽  
Seung-Han Suk

Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be “substantial evidence of the effectiveness of accreditation”. The aim of this study was to identify and analyze healthcare employees’ perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea.Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed.Results: The 14 studies assessed healthcare employees’ perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees’ had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on “patient safety and healthcare quality”, “leadership” and “organizational culture”.Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.


2021 ◽  
Vol 32 (9) ◽  
pp. 101-121
Author(s):  
Marcos Dieste ◽  
Roberto Panizzolo ◽  
Jose Arturo Garza-Reyes

PurposeThe lean philosophy has demonstrated its effectiveness to improve firms' operational performance. However, the impact of lean practices on financial performance is still unclear due to the poor understanding of the link between operational and financial measures and the conflictive results obtained by previous research. The purpose of this paper is to conduct a systematic literature review to understand whether lean companies have improved their financial performance. Moreover, this article aims to uncover research gaps in the literature and examine which time spans of research have been considered to analyse both the degree of lean implementation and the measurement of financial outcomes.Design/methodology/approachA systematic literature review has been conducted to identify peer-reviewed articles that analyse the effect of the lean production paradigm on the financial performance measures of manufacturing companies. Then, the identified articles were processed using a combination of descriptive and content analyses methods to draw new conclusions, uncover gaps and find novel paths for research.FindingsVarious authors indicate that lean initiatives lead to an enhancement of financial performance measures. JIT and TQM lean practice bundles are suggested as the best enablers of financial performance in terms of sales and profit. In contrast, according to some scholars, lean does not necessarily improve companies' financial results if it is not properly implemented.Originality/valueSeveral studies have focused on analysing the effects of lean on performance. However, only a small part of the literature has addressed the study of the effects of lean practices on financial performance metrics. The originality of this study lies in the investigation of the connections between lean practices and financial performance measures found in the literature. The outcome is the identification of various possible positive impacts of some lean practices on financial metrics.


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