Strategies for integrating clinical indicator and accreditation systems to improve healthcare management

Sheuwen Chuang, Peter P. Howley

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Integrating clinical indicators (CIs) within the accreditation process has become a national priority and proposed policy in Taiwan for continuous quality improvement of healthcare. This study revealed important strategies required to support implementation of such policy. A survey of 249 surveyors was undertaken by questionnaire surrounding the use and perceptions of CIs of four nationwide quality measurement systems (QMSs). Five key messages were identified and interpreted in light of a holistic healthcare systems relationship model: (1) surveyors’ use of CIs was positively associated with the level of their understanding of the indicators and hospitals’ use; (2) hospital's use of CIs was positively associated with the length of time the QMS existed; (3) surveyors responded to abnormal CIs by assuming auditor, investigator, and/or consultant roles; (4) a gap exists between surveyors’ perceptions of CIs’ suitability for key parties and their need in the accreditation process; (5) over half of surveyors reported that hospital accreditation needs improvement, with positive and negative comments about using CIs. Developing value-added reports, increased training and support, encouraging surveyors to assume multiple roles, and mandatory CI use would collectively better integrate CIs within the accreditation process and enhance relationships between QMS, hospital accreditation, and healthcare delivery systems.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalInternational Journal of Healthcare Management
DOIs
Publication statusAccepted/In press - Mar 16 2017

Fingerprint

Accreditation
Delivery of Health Care
Training Support
Quality of Health Care
Consultants
Quality Improvement
Taiwan
Research Personnel
Surveys and Questionnaires

Keywords

  • Accreditation surveyor
  • Clinical indicators
  • Continuous quality improvement
  • Hospital accreditation
  • Quality measurement systems
  • Systems improvement

ASJC Scopus subject areas

  • Health Policy

Cite this

@article{146da807b0164174bcdbf83a8c226686,
title = "Strategies for integrating clinical indicator and accreditation systems to improve healthcare management",
abstract = "Integrating clinical indicators (CIs) within the accreditation process has become a national priority and proposed policy in Taiwan for continuous quality improvement of healthcare. This study revealed important strategies required to support implementation of such policy. A survey of 249 surveyors was undertaken by questionnaire surrounding the use and perceptions of CIs of four nationwide quality measurement systems (QMSs). Five key messages were identified and interpreted in light of a holistic healthcare systems relationship model: (1) surveyors’ use of CIs was positively associated with the level of their understanding of the indicators and hospitals’ use; (2) hospital's use of CIs was positively associated with the length of time the QMS existed; (3) surveyors responded to abnormal CIs by assuming auditor, investigator, and/or consultant roles; (4) a gap exists between surveyors’ perceptions of CIs’ suitability for key parties and their need in the accreditation process; (5) over half of surveyors reported that hospital accreditation needs improvement, with positive and negative comments about using CIs. Developing value-added reports, increased training and support, encouraging surveyors to assume multiple roles, and mandatory CI use would collectively better integrate CIs within the accreditation process and enhance relationships between QMS, hospital accreditation, and healthcare delivery systems.",
keywords = "Accreditation surveyor, Clinical indicators, Continuous quality improvement, Hospital accreditation, Quality measurement systems, Systems improvement",
author = "Sheuwen Chuang and Howley, {Peter P.}",
year = "2017",
month = "3",
day = "16",
doi = "10.1080/20479700.2017.1300396",
language = "English",
pages = "1--10",
journal = "International Journal of Healthcare Management",
issn = "2047-9700",
publisher = "Maney Publishing",

}

TY - JOUR

T1 - Strategies for integrating clinical indicator and accreditation systems to improve healthcare management

AU - Chuang, Sheuwen

AU - Howley, Peter P.

PY - 2017/3/16

Y1 - 2017/3/16

N2 - Integrating clinical indicators (CIs) within the accreditation process has become a national priority and proposed policy in Taiwan for continuous quality improvement of healthcare. This study revealed important strategies required to support implementation of such policy. A survey of 249 surveyors was undertaken by questionnaire surrounding the use and perceptions of CIs of four nationwide quality measurement systems (QMSs). Five key messages were identified and interpreted in light of a holistic healthcare systems relationship model: (1) surveyors’ use of CIs was positively associated with the level of their understanding of the indicators and hospitals’ use; (2) hospital's use of CIs was positively associated with the length of time the QMS existed; (3) surveyors responded to abnormal CIs by assuming auditor, investigator, and/or consultant roles; (4) a gap exists between surveyors’ perceptions of CIs’ suitability for key parties and their need in the accreditation process; (5) over half of surveyors reported that hospital accreditation needs improvement, with positive and negative comments about using CIs. Developing value-added reports, increased training and support, encouraging surveyors to assume multiple roles, and mandatory CI use would collectively better integrate CIs within the accreditation process and enhance relationships between QMS, hospital accreditation, and healthcare delivery systems.

AB - Integrating clinical indicators (CIs) within the accreditation process has become a national priority and proposed policy in Taiwan for continuous quality improvement of healthcare. This study revealed important strategies required to support implementation of such policy. A survey of 249 surveyors was undertaken by questionnaire surrounding the use and perceptions of CIs of four nationwide quality measurement systems (QMSs). Five key messages were identified and interpreted in light of a holistic healthcare systems relationship model: (1) surveyors’ use of CIs was positively associated with the level of their understanding of the indicators and hospitals’ use; (2) hospital's use of CIs was positively associated with the length of time the QMS existed; (3) surveyors responded to abnormal CIs by assuming auditor, investigator, and/or consultant roles; (4) a gap exists between surveyors’ perceptions of CIs’ suitability for key parties and their need in the accreditation process; (5) over half of surveyors reported that hospital accreditation needs improvement, with positive and negative comments about using CIs. Developing value-added reports, increased training and support, encouraging surveyors to assume multiple roles, and mandatory CI use would collectively better integrate CIs within the accreditation process and enhance relationships between QMS, hospital accreditation, and healthcare delivery systems.

KW - Accreditation surveyor

KW - Clinical indicators

KW - Continuous quality improvement

KW - Hospital accreditation

KW - Quality measurement systems

KW - Systems improvement

UR - http://www.scopus.com/inward/record.url?scp=85015242521&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85015242521&partnerID=8YFLogxK

U2 - 10.1080/20479700.2017.1300396

DO - 10.1080/20479700.2017.1300396

M3 - Article

AN - SCOPUS:85015242521

SP - 1

EP - 10

JO - International Journal of Healthcare Management

JF - International Journal of Healthcare Management

SN - 2047-9700

ER -