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: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418753/ http://www.ncbi.nlm.nih.gov/pubmed/34482842 https://doi.org/10.1186/s12913-021-06952-w |
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Research 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 |
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Research |
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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 ... |
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Text |
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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 |
publisher |
BioMed Central |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418753/ http://www.ncbi.nlm.nih.gov/pubmed/34482842 https://doi.org/10.1186/s12913-021-06952-w |
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Faroe Islands |
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Faroe Islands |
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Faroe Islands |
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Faroe Islands |
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BMC Health Serv Res |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418753/ http://www.ncbi.nlm.nih.gov/pubmed/34482842 http://dx.doi.org/10.1186/s12913-021-06952-w |
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© The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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https://doi.org/10.1186/s12913-021-06952-w |
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BMC Health Services Research |
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21 |
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1 |
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ftpubmed:oai:pubmedcentral.nih.gov:8418753 2023-05-15T16:11:00+02:00 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 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418753/ http://www.ncbi.nlm.nih.gov/pubmed/34482842 https://doi.org/10.1186/s12913-021-06952-w en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8418753/ http://www.ncbi.nlm.nih.gov/pubmed/34482842 http://dx.doi.org/10.1186/s12913-021-06952-w © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Health Serv Res Research Text 2021 ftpubmed https://doi.org/10.1186/s12913-021-06952-w 2021-09-12T00:35:19Z 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 ... Text Faroe Islands PubMed Central (PMC) Faroe Islands BMC Health Services Research 21 1 |