An international systems-theoretic comparison of hospital accreditation

developing an implementation typology

Sheuwen Chuang, Peter H Howley, Shawon S Gonzales

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology.

Design: A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model. A set of key attributes relevant to three systems-theoretic model relationships guided data collection, comparison and synthesis.

Setting: Hospital accreditation systems in five countries: America, Canada, Australia, Taiwan and France.

Results: An accreditation implementation typology was developed based on the data synthesis of the similarities and differences among the relationships. A typology including five implementation types of hospital accreditation systems (TYPE I-V) was induced. TYPE I is a basic stand-alone accreditation system. The higher types represent stronger relationships among accreditation system, healthcare organizations and quality measurement systems. The five settings have shifted their accreditation approaches from the basic type (TYPE I).

Conclusions: The implementation typology of hospital accreditation could serve as a roadmap for refining hospital accreditation systems toward an integrative approach for continuous quality improvement.

Fingerprint

Accreditation
Delivery of Health Care
Quality of Health Care
Quality Improvement
Taiwan
Lenses
France
Canada
Theoretical Models
Organizations

Cite this

@article{646c3561731445ada4f0cba80f279a5c,
title = "An international systems-theoretic comparison of hospital accreditation: developing an implementation typology",
abstract = "Objective: The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology.Design: A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model. A set of key attributes relevant to three systems-theoretic model relationships guided data collection, comparison and synthesis.Setting: Hospital accreditation systems in five countries: America, Canada, Australia, Taiwan and France.Results: An accreditation implementation typology was developed based on the data synthesis of the similarities and differences among the relationships. A typology including five implementation types of hospital accreditation systems (TYPE I-V) was induced. TYPE I is a basic stand-alone accreditation system. The higher types represent stronger relationships among accreditation system, healthcare organizations and quality measurement systems. The five settings have shifted their accreditation approaches from the basic type (TYPE I).Conclusions: The implementation typology of hospital accreditation could serve as a roadmap for refining hospital accreditation systems toward an integrative approach for continuous quality improvement.",
keywords = "hospital accreditation, quality measurement system, systems-theory, Continuous quality improvement",
author = "Sheuwen Chuang and Howley, {Peter H} and Gonzales, {Shawon S}",
year = "2018",
month = "8",
day = "25",
doi = "10.1093/intqhc/mzy189",
language = "English",
journal = "International Journal for Quality in Health Care",
issn = "1353-4505",
publisher = "Oxford University Press",

}

TY - JOUR

T1 - An international systems-theoretic comparison of hospital accreditation

T2 - developing an implementation typology

AU - Chuang, Sheuwen

AU - Howley, Peter H

AU - Gonzales, Shawon S

PY - 2018/8/25

Y1 - 2018/8/25

N2 - Objective: The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology.Design: A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model. A set of key attributes relevant to three systems-theoretic model relationships guided data collection, comparison and synthesis.Setting: Hospital accreditation systems in five countries: America, Canada, Australia, Taiwan and France.Results: An accreditation implementation typology was developed based on the data synthesis of the similarities and differences among the relationships. A typology including five implementation types of hospital accreditation systems (TYPE I-V) was induced. TYPE I is a basic stand-alone accreditation system. The higher types represent stronger relationships among accreditation system, healthcare organizations and quality measurement systems. The five settings have shifted their accreditation approaches from the basic type (TYPE I).Conclusions: The implementation typology of hospital accreditation could serve as a roadmap for refining hospital accreditation systems toward an integrative approach for continuous quality improvement.

AB - Objective: The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology.Design: A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model. A set of key attributes relevant to three systems-theoretic model relationships guided data collection, comparison and synthesis.Setting: Hospital accreditation systems in five countries: America, Canada, Australia, Taiwan and France.Results: An accreditation implementation typology was developed based on the data synthesis of the similarities and differences among the relationships. A typology including five implementation types of hospital accreditation systems (TYPE I-V) was induced. TYPE I is a basic stand-alone accreditation system. The higher types represent stronger relationships among accreditation system, healthcare organizations and quality measurement systems. The five settings have shifted their accreditation approaches from the basic type (TYPE I).Conclusions: The implementation typology of hospital accreditation could serve as a roadmap for refining hospital accreditation systems toward an integrative approach for continuous quality improvement.

KW - hospital accreditation

KW - quality measurement system

KW - systems-theory

KW - Continuous quality improvement

U2 - 10.1093/intqhc/mzy189

DO - 10.1093/intqhc/mzy189

M3 - Article

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

ER -