TY - JOUR
T1 - Strategies for integrating clinical indicator and accreditation systems to improve healthcare management
AU - Chuang, Sheuwen
AU - Howley, Peter P.
N1 - Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/10/2
Y1 - 2017/10/2
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
SN - 2047-9700
VL - 10
SP - 265
EP - 274
JO - International Journal of Healthcare Management
JF - International Journal of Healthcare Management
IS - 4
ER -