The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands
Background: Significant resources are spent on hospital accreditation worldwide. However, documentation of the effects of accreditation on processes, quality of care and outcomes in healthcare remain scarce. This study aimed to examine changes in the delivery of patient care in accordance with clini...
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2021
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Online Access: | https://researchers.mq.edu.au/en/publications/a49948aa-6ab9-4abf-9fe2-f775bb7d7f8e https://doi.org/10.1186/s12913-021-06952-w https://research-management.mq.edu.au/ws/files/175226841/Publisher_version_open_access_.pdf http://www.scopus.com/inward/record.url?scp=85114289632&partnerID=8YFLogxK |
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ftmacquarieunicr:oai:https://researchers.mq.edu.au:publications/a49948aa-6ab9-4abf-9fe2-f775bb7d7f8e 2024-09-15T18:05:43+00:00 The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands Bergholt, Maria Daniella Falstie-Jensen, Anne Mette Hibbert, Peter Eysturoy, Barbara Joensen Guttesen, Gunnvá Róin, Tóra Valentin, Jan Brink Braithwaite, Jeffrey von Plessen, Christian Johnsen, Søren Paaske 2021-09-05 application/pdf https://researchers.mq.edu.au/en/publications/a49948aa-6ab9-4abf-9fe2-f775bb7d7f8e https://doi.org/10.1186/s12913-021-06952-w https://research-management.mq.edu.au/ws/files/175226841/Publisher_version_open_access_.pdf http://www.scopus.com/inward/record.url?scp=85114289632&partnerID=8YFLogxK eng eng info:eu-repo/semantics/openAccess Bergholt , M D , Falstie-Jensen , A M , Hibbert , P , Eysturoy , B J , Guttesen , G , Róin , T , Valentin , J B , Braithwaite , J , von Plessen , C & Johnsen , S P 2021 , ' The association between first-time accreditation and the delivery of recommended care : a before and after study in the Faroe Islands ' , BMC Health Services Research , vol. 21 , no. 1 , 917 , pp. 1-13 . https://doi.org/10.1186/s12913-021-06952-w Accreditation Before and after study Hospital Medical record audit Recommended care article 2021 ftmacquarieunicr https://doi.org/10.1186/s12913-021-06952-w 2024-08-28T23:47:19Z Background: Significant resources are spent on hospital accreditation worldwide. However, documentation of the effects of accreditation on processes, quality of care and outcomes in healthcare remain scarce. This study aimed to examine changes in the delivery of patient care in accordance with clinical guidelines (recommended care) after first-time accreditation in a care setting not previously exposed to systematic quality improvement initiatives. Methods: We conducted a before and after study based on medical record reviews in connection with introducing first-time accreditation. We included patients with stroke/transient ischemic attack, bleeding gastric ulcer, diabetes, chronic obstructive pulmonary disease (COPD), childbirth, heart failure and hip fracture treated at public, non-psychiatric Faroese hospitals during 2012–2013 (before accreditation) or 2017–2018 (after accreditation). The intervention was the implementation of a modified second version of The Danish Healthcare Quality Program (DDKM) from 2014 to 2016 including an on-site accreditation survey in the Faroese hospitals. Recommended care was assessed using 63 disease specific patient level process performance measures in seven clinical conditions. We calculated the fulfillment and changes in the opportunity-based composite score and the all-or-none score. Results: We included 867 patient pathways (536 before and 331 after). After accreditation, the total opportunity-based composite score was marginally higher though the change did not reach statistical significance (adjusted percentage point difference (%): 4.4%; 95% CI: − 0.7 to 9.6). At disease level, patients with stroke/transient ischemic attack, bleeding gastric ulcer, COPD and childbirth received a higher proportion of recommended care after accreditation. No difference was found for heart failure and diabetes. Hip fracture received less recommended care after accreditation. The total all-or-none score, which is the probability of a patient receiving all recommended care, was significantly ... Article in Journal/Newspaper Faroe Islands Macquarie University Research Portal BMC Health Services Research 21 1 |
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Macquarie University Research Portal |
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ftmacquarieunicr |
language |
English |
topic |
Accreditation Before and after study Hospital Medical record audit Recommended care |
spellingShingle |
Accreditation Before and after study Hospital Medical record audit Recommended care Bergholt, Maria Daniella Falstie-Jensen, Anne Mette Hibbert, Peter Eysturoy, Barbara Joensen Guttesen, Gunnvá Róin, Tóra Valentin, Jan Brink Braithwaite, Jeffrey von Plessen, Christian Johnsen, Søren Paaske The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
topic_facet |
Accreditation Before and after study Hospital Medical record audit Recommended care |
description |
Background: Significant resources are spent on hospital accreditation worldwide. However, documentation of the effects of accreditation on processes, quality of care and outcomes in healthcare remain scarce. This study aimed to examine changes in the delivery of patient care in accordance with clinical guidelines (recommended care) after first-time accreditation in a care setting not previously exposed to systematic quality improvement initiatives. Methods: We conducted a before and after study based on medical record reviews in connection with introducing first-time accreditation. We included patients with stroke/transient ischemic attack, bleeding gastric ulcer, diabetes, chronic obstructive pulmonary disease (COPD), childbirth, heart failure and hip fracture treated at public, non-psychiatric Faroese hospitals during 2012–2013 (before accreditation) or 2017–2018 (after accreditation). The intervention was the implementation of a modified second version of The Danish Healthcare Quality Program (DDKM) from 2014 to 2016 including an on-site accreditation survey in the Faroese hospitals. Recommended care was assessed using 63 disease specific patient level process performance measures in seven clinical conditions. We calculated the fulfillment and changes in the opportunity-based composite score and the all-or-none score. Results: We included 867 patient pathways (536 before and 331 after). After accreditation, the total opportunity-based composite score was marginally higher though the change did not reach statistical significance (adjusted percentage point difference (%): 4.4%; 95% CI: − 0.7 to 9.6). At disease level, patients with stroke/transient ischemic attack, bleeding gastric ulcer, COPD and childbirth received a higher proportion of recommended care after accreditation. No difference was found for heart failure and diabetes. Hip fracture received less recommended care after accreditation. The total all-or-none score, which is the probability of a patient receiving all recommended care, was significantly ... |
format |
Article in Journal/Newspaper |
author |
Bergholt, Maria Daniella Falstie-Jensen, Anne Mette Hibbert, Peter Eysturoy, Barbara Joensen Guttesen, Gunnvá Róin, Tóra Valentin, Jan Brink Braithwaite, Jeffrey von Plessen, Christian Johnsen, Søren Paaske |
author_facet |
Bergholt, Maria Daniella Falstie-Jensen, Anne Mette Hibbert, Peter Eysturoy, Barbara Joensen Guttesen, Gunnvá Róin, Tóra Valentin, Jan Brink Braithwaite, Jeffrey von Plessen, Christian Johnsen, Søren Paaske |
author_sort |
Bergholt, Maria Daniella |
title |
The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
title_short |
The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
title_full |
The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
title_fullStr |
The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
title_full_unstemmed |
The association between first-time accreditation and the delivery of recommended care:a before and after study in the Faroe Islands |
title_sort |
association between first-time accreditation and the delivery of recommended care:a before and after study in the faroe islands |
publishDate |
2021 |
url |
https://researchers.mq.edu.au/en/publications/a49948aa-6ab9-4abf-9fe2-f775bb7d7f8e https://doi.org/10.1186/s12913-021-06952-w https://research-management.mq.edu.au/ws/files/175226841/Publisher_version_open_access_.pdf http://www.scopus.com/inward/record.url?scp=85114289632&partnerID=8YFLogxK |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
Bergholt , M D , Falstie-Jensen , A M , Hibbert , P , Eysturoy , B J , Guttesen , G , Róin , T , Valentin , J B , Braithwaite , J , von Plessen , C & Johnsen , S P 2021 , ' The association between first-time accreditation and the delivery of recommended care : a before and after study in the Faroe Islands ' , BMC Health Services Research , vol. 21 , no. 1 , 917 , pp. 1-13 . https://doi.org/10.1186/s12913-021-06952-w |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12913-021-06952-w |
container_title |
BMC Health Services Research |
container_volume |
21 |
container_issue |
1 |
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1810443233580285952 |