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Counting the costs of accreditation in acute care: an activity-based costing approach.

Abstract：

OBJECTIVES:To assess the costs of hospital accreditation in Australia. DESIGN:Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review. SETTING:Acute care hospitals accredited by the Australian Council for Health Care Standards. PARTICIPANTS:Six acute public hospitals across four States. RESULTS:Accreditation costs varied from 0.03% to 0.60% of total hospital operating costs per year, averaged across the 4-year accreditation cycle. Relatively higher costs were associated with the surveys years and with smaller facilities. At a national level these costs translate to $A36.83 million, equivalent to 0.1% of acute public hospital recurrent expenditure in the 2012 fiscal year. CONCLUSIONS:This is the first time accreditation costs have been independently evaluated across a wide range of hospitals and highlights the additional cost burden for smaller facilities. A better understanding of the costs allows policymakers to assess alternative accreditation and other quality improvement strategies, and understand their impact across a range of facilities. This methodology can be adapted to assess international accreditation programmes.

journal_name

BMJ Open

journal_title

BMJ open

authors

Mumford V,Greenfield D,Hogden A,Forde K,Westbrook J,Braithwaite J

doi

10.1136/bmjopen-2015-008850

subject

Has Abstract

pub_date

2015-09-08 00:00:00

pages

e008850

issue

9

issn

2044-6055

pii

bmjopen-2015-008850

journal_volume

5

pub_type

杂志文章

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