Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: A SWOT analysis

Hong Kong Medical Journal

Volumn 19, Issue 5, 2013, Pages 434-446

  Ng, Gloria K B ^a   Leung, Gilberto K K ^a   Johnston, Janice M ^a   Cowling, Benjamin J ^a  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

Accreditation; Hospitals public; Quality improvement

Indexed keywords

ACCREDITATION; ATTITUDE TO CHANGE; AWARENESS; FUNDING; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL PERSONNEL; HOSPITAL SERVICE; HUMAN; INTERDISCIPLINARY EDUCATION; INTERPERSONAL COMMUNICATION; LEADERSHIP; MANDATORY PROGRAM; MARKETING; ORGANIZATIONAL STRUCTURE; OUTCOME ASSESSMENT; PATIENT SAFETY; PERSONNEL MANAGEMENT; PROFESSIONAL STANDARD; PUBLIC HOSPITAL; PUBLIC RELATIONS; REVIEW; SOCIAL BEHAVIOR; STAFF TRAINING; SYSTEMATIC REVIEW;

ACCREDITATION; HOSPITALS, PUBLIC; QUALITY IMPROVEMENT;

ACCREDITATION; HOSPITALS, PUBLIC; HUMANS; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; TOTAL QUALITY MANAGEMENT;

EID: 84885087398     PISSN: 10242708     EISSN: None     Source Type: Journal    
DOI: 10.12809/hkmj134063     Document Type: Review

References (57)

1. Shaw C. Developing hospital accreditation in Europe. Geneve: WHO; 2006.
2. Arce HE. Hospital accreditation as a means of achieving international quality standards in health. Int J Qual Health Care 1998;10:469-72.
3. WHO. Quality and accreditation in health care services: a global review. Geneva: WHO; 2003.
4. Braithwaite J, Greenfield D, Westbrook J, et al. Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Qual Saf Health Care 2010;19:14-21.
5. Greenfield D, Travaglia J, Braithwaite J, Pawsey M. An analysis of healthcare sector accreditation literature. A report for the Australian Accreditation Research Network: examining future health care accreditation research. Sydney: Centre for Clinical Governance Research in Health, University of New South Wales; 2007.
6. Ovretveit J, Gustafson D. Evaluation of quality improvement programmes. Qual Saf Health Care 2002;11:270-5.
7. El-Jardali F. Hospital accreditation policy in Lebanon: its potential for quality improvement. J Med Liban 2007;55:39-45.
8. Shaw C. External assessment of health care. BMJ 2001;322:851-4.
9. Ovretveit J, Gustafson D. Using research to inform quality programmes. BMJ 2003;326:759-61.
10. Braithwaite J, Westbrook J, Johnston B, et al. Strengthening organizational performance through accreditation research-a framework for twelve interrelated studies: the ACCREDIT project study protocol. BMC Res Notes 2011;4:390.
11. Hinchcliff R, Greenfield D, Moldovan M, et al. Narrative synthesis of health service accreditation literature. BMJ Qual Saf 2012;21:979-91.
12. Greenfield D, Braithwaite J. Health sector accreditation research: a systematic review. Int J Qual Health Care 2008;20:172-83.
13. Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med 2011;31:407-16.
14. Flodgren G, Pomey MP, Taber SA, Eccles MP. Effectiveness of external inspection of compliance with standards in improving healthcare organization behaviour, healthcare professional behaviour or patient outcomes. Cochrane Database Syst Rev 2011;(11):CD008992.
15. Stacey RD. Strategic management and organisational dynamics: the challenge of complexity. 3rd ed. Harlow, England: Financial Times Prentice Hall; 1999.
16. Johnson G, Scholes K. Exploring corporate strategy. 6th ed. Harlow, England: Financial Times Prentice Hall; 2002.
17. Shaw C. The external assessment of health services. World Hosp Health Serv 2004;40:24-7,50-1.
18. Hadley TR, McGurrin MC. Accreditation, certification, and the quality of care in state hospitals. Hosp Community Psychiatry 1988;39:739-42.
19. Pawlson LG, O'Kane ME. Professionalism, regulation, and the market: impact on accountability for quality of care. Health Aff 2002;21:200-7.
20. Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual 2005;20:239-52.
21. Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood) 2004;23:103-15.
22. Mulholland D. Unanticipated consequences of unanticipated outcomes disclosures. J Health Law 2002;35:211-26.
23. El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care 2008;20:363-71.
24. de Noronha JC, Pereira TR. Health care reform and quality initiatives in Brazil. Jt Comm J Qual Improv 1998;24:251-63.
25. Pomey MP, Francois P, Contandriopoulos AP, Tosh A, Bertrand D. Paradoxes of French accreditation. Qual Saf Health Care 2005;14:51-5.
26. Pongpirul K, Sriratanaban J, Asavaroengchai S, Thammatach-Aree J, Laoitthi P. Comparison of health care professionals' and surveyors' opinions on problems and obstacles in implementing quality management system in Thailand: a national survey. Int J Qual Health Care 2006;18:346-51.
27. Maguerez G, Erbault M, Terra JL, Maisonneuve H, Matillon Y. Evaluation of 60 continuous quality improvement projects in French hospitals. Int J Qual Health Care 2001;13:89-97.
28. Laschober M, Maxfield M, Felt-Lisk S, Miranda DJ. Hospital response to public reporting of quality indicators. Health Care Financ Rev 2007;28:61-76.
29. Meadows G. Streamlining regulatory compliance through clinical systems. Nurs Econ 2003;21:196-8.
30. Daucourt V, Michel P. Results of the first 100 accreditation procedures in France. Int J Qual Health Care 2003;15:463-71.
31. Sunol R, Vallejo P, Thompson A, Lombarts MJ, Shaw CD, Klazinga N. Impact of quality strategies on hospital outputs. Qual Saf Health Care 2009;18 Suppl 1:i62-8.
32. de Noronha JC, Travassos CM, Rosa ML. Quality improvement initiatives in Brazil: a progress report. Jt Comm J Qual Improv 1999;25:565-73.
33. Whittaker S, Green-Thompson RW, McCusker I, Nyembezi B. Status of a health care quality review programme in South Africa. Int J Qual Health Care 2000;12:247-50.
34. Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top 2008;86:9-19.
35. Weil TP. Commentary: public disclosure in the health field: is there a relevant option? Am J Med Qual 2001;16:23-33.
36. Ovretveit J. Quality evaluation and indicator comparison in health care. Int J Health Plann Manage 2001;16:229-41.
37. Shin YS. Hospital accreditation-a universal perspective. World Hosp Health Serv 1995;31:22-8.
38. Collopy BT. Extending facility accreditation to the evaluation of care: the Australian experience. Int J Health Plann Manage 1995;10:223-9.
39. Bukonda N, Tavrow P, Abdallah H, Hoffner K, Tembo J. Implementing a national hospital accreditation program: the Zambian experience. Int J Qual Health Care 2002;14 Suppl 1:7-16.
40. Wakefield DS, Wakefield BJ. Overcoming the barriers to implementation of TQM/CQI in hospitals: myths and realities. QRB Qual Rev Bull 1993;19:83-8.
41. Schwartz RW, Pogge C. Physician leadership: essential skills in a changing environment. Am J Surg 2000;180:187-92.
42. Shekelle PG. Why don't physicians enthusiastically support quality improvement programmes? Qual Saf Health Care 2002;11:6.
43. van den Heuvel J, Koning L, Bogers AJ, Berg M, van Dijen ME. An ISO 9001 quality management system in a hospital: bureaucracy or just benefits? Int J Health Care Qual Assur Inc Leadersh Health Serv 2005;18:361-9.
44. Nandraj S, Khot A, Menon S, Brugha R. A stakeholder approach towards hospital accreditation in India. Health Policy Plan 2001;16 Suppl 2:70-9.
45. Buchbinder SB, Shanks NH. Introduction to health care management. 2nd ed. Burlington, MA: Jones & Bartlett Learning; 2011.
46. van Wijngaarden JD, Scholten GR, van Wijk KP. Strategic analysis for health care organizations: the suitability of the SWOT-analysis. Int J Health Plann Manage 2012;27:34-49.
47. Schyve PM. The evolution of external quality evaluation: observations from the Joint Commission on Accreditation of Healthcare Organizations. Int J Qual Health Care 2000;12:255-8.
48. Shaw CD. External quality mechanisms for health care: summary of the ExPeRT project on visitatie, accreditation, EFQM and ISO assessment in European Union countries. External Peer Review Techniques. European Foundation for Quality Management. International Organization for Standardization. Int J Qual Health Care 2000;12:169-75.
49. Montagu D. Accreditation and other external quality assessment systems for healthcare: review of experience and lessons learned. DFID Health Systems Resource Centre; 2003.
50. Fortes MT, Mattos RA, Baptista TW. Accreditation or accreditations? A comparative study about accreditation in France, United Kingdom and Cataluna. Rev Assoc Med Bras 2011;57:239-46.
51. Shaw CD, Kutryba B, Braithwaite J, Bedlicki M, Warunek A. Sustainable healthcare accreditation: messages from Europe in 2009. Int J Qual Health Care 2010;22:341-50.
52. Quimbo SA, Peabody JW, Shimkhada R, Woo K, Solon O. Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines. Soc Sci Med 2008;67:505-10.
53. Salmon JW, Heavens J, Lombard C, Tavrow P. The impact of accreditation on the quality of hospital care: KwaZulu-Natal Province, Republic of South Africa. Bethesda, USA: Quality Assurance Project, University Research Co, LLC; 2003.
54. Leung PY, Lai L, Pang FC, Au A. Leveraging on hospital accreditation for quality improvement in Hong Kong. Building Quality in Health Care 2010;4:24-7.
55. Chiu A, Seto WH, Lai L. Journey of a Hong Kong public teaching hospital in preparation of hospital accreditation. Hong Kong Med J 2011;17:231-6.
56. Pickton DW, Wright S. What's swot in strategic analysis? Strategic Change 1998;7:101-9.
57. Groene O, Klazinga N, Wagner C, et al. Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' project. BMC Health Serv Res 2010;10:281.