Licensure involves a process by which governmental authority grants permission, usually following inspection against minimal standards, to an individual practitioner or healthcare organization to operate in an occupation or profession. Another recently published review of the literature related to accreditation had several limitations. In our review, we limited our search to health services accreditation. Second, the period covered in the search in the other review was only up to May and several important publications have been published since May Third, several important papers relevant to accreditation were missed in the other review.
A comprehensive updated search of several electronic bibliographic databases was performed, including Medline, from to June ; Cinhal, from to June ; Embase, from to June ; and HealthStar, from to June No language restrictions were used. The bibliographies of all selected articles and relevant review articles were reviewed to identify additional studies.
Experts in the area of accreditation were contacted to identify relevant studies. We included studies with different study designs, including clinical trials, observational studies and qualitative studies.
Our search identified references. An analysis of abstracts of the citations was conducted to identify substantial studies relevant to health services accreditation by AK. Fifty-one studies were identified as potentially eligible for inclusion in the review. The full text of these studies was reviewed. Twenty studies were excluded that described the attitude of healthcare professionals towards accreditation. Five studies were excluded that described the cost of accreditation of healthcare services.
Twenty-six studies were identified Table 2. Ten studies evaluated the impact of a general accreditation program on the overall performance of hospitals.
Nine studies evaluated the impact of a general accreditation program on a single aspect of hospital performance. Seven studies evaluated the impact of subspecialty accreditation programs. In the South African randomized controlled trial, 20 randomly selected public hospitals, stratified by size, were selected.
Ten of these hospitals were randomized to the accreditation program in ; the other 10 served as controls. About 2 years after accreditation began; intervention hospitals significantly improved their average compliance with COHSASA accreditation standards, while no appreciable increase was observed in the control hospitals.
There was an increase and improvement in the structure of medical staff organization, nursing organization and physical facilities and safety. The improvement on the Systematic Development Scale was significantly higher in accredited than in non-accredited units. A substantial number of the plans in the bottom decile of quality performance were accredited, suggesting that accreditation does not ensure high-quality care.
In this study, the mortality rate was lower post AMI in accredited hospitals than in non-accredited hospitals. In this study, 5 non-accredited hospitals achieved accreditation during the study.
There was significantly greater compliance with eight acute myocardial infarction AMI core measures at accredited hospitals compared with non-accredited hospitals. Accredited centers received greater satisfaction ratings than non-accredited centers. General accreditation programs appear to improve the structure and process of care, with a good body of evidence showing that accreditation programs improve clinical outcomes.
Randomization of this important trial controlled for important factors known to affect a hospital's ability to comply with and achieve accreditation standards for indicators such as hospital size, staffing levels, staff qualifications and budget levels. It is possible that these hospitals had already made considerable progress that was not captured because the first round of the survey was too late to be a true baseline, which may explain the lack of effect of accreditation on the selected quality indicators.
Several studies have shown a significant positive impact of subspecialty accreditation programs in improving clinical outcomes in different subspecialties, including sleep medicine, chest pain management and trauma management Table 2. General accreditation programs of health organizations and accreditation of subspecialties should be encouraged and supported to improve the quality of healthcare services.
Within healthcare they use accreditation , and it is important to understand what it is, how it is different from licensure, the history of it within the United States, and current and future challenges with it.
These standards measure the quality of care within the healthcare organization. Accreditation is so important because it demonstrates commitment to quality, creates a distinction among the competition, and drives continuous improvement ACHC, Healthcare is always trying to improve quality of care and to set standards it makes it possible.
Get Access. Read More. Hospital Accreditation : A Self Assessment Process Words 34 Pages Hospital Accreditation is a self-assessment process carried out by health care bodies to determine the level of performance by the set standards. Joint Commission Accreditation Words 5 Pages Commission is an independent not for profit group that provides as the accreditation issuer within the United States. The National Committee For Quality Assurance Words 6 Pages that was formed in with the sole purpose of improving the quality of healthcare.
Memorial Herman Northeast Summary Words 3 Pages Leapfrog Memorial Herman was asked to report data pertaining to infections and the hospital declined to report the data. Joint Commission on Accreditation of Healthcare Organizations Jcaho Words 9 Pages Joint Commission on Accreditation of Healthcare Organizations JCAHO Introduction JCAHO is an abbreviation for Joint Commission on Accreditation of Healthcare Organizations is a non-for-profit organization that seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
In healthcare, patient trust is essential. Patients are putting their personal health — and often their lives — in the hands of healthcare staff. Accreditation shows your patients that they can trust your organization to take care of them.
It also demonstrates to the community that you are seeking to provide the highest quality service possible. When community members see that your organization is accredited, they know that you have voluntarily undergone the process of meeting rigorous standards.
This increased confidence not only brings in more patients, it also can help your organization build partnerships within your community. Healthcare organizations face unique challenges when it comes to management and business operations. Organizations must make sure their operations comply with a complex series of federal and state laws.
They also must continually improve processes while also cutting costs. A survey conducted by the Harvard Business Review found that management issues were the biggest challenges facing healthcare providers. They interviewed more than healthcare executives at different types of organizations, and found that more than half of them said their operational model needed to change.
Accreditation in healthcare can help organizations make strategic shifts. Most accreditation standards provide a framework to help your organization set up better structures and achieve operational excellence. Healthcare is a high-risk and highly regulated industry.
Medical mistakes or compliance violations can cost your organization millions in lawsuits, or even put you out of business. Preparing for accreditation requires doing a comprehensive review of how your organization functions. This lets you see the areas where you are most at risk. You may spot a gap in compliance or find that you need to adjust the procedure to make a certain task safer. This proactive approach to risk management will result in safer processes, and therefore, fewer mistakes.
Some insurance companies offer a reduced premium to facilities that are accredited. This can bring significant savings for your organization, and may even offset the cost of accreditation. Accreditation gives you a leg up on your competition. Potential patients or partners are more likely to choose an accredited healthcare facility over one that is not accredited. Being recognized professionally : Insurers and other managed-care organizations recognize accreditation as an important indicator that a facility provides high-quality care for enrollees.
Having access to necessary resources : Accredited facilities have access to a network of tools and resources related to best practices in healthcare. Media Inquires media r1rcm. Connect Contact contact r1rcm. Careers India Careers Technology.
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