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

BMJ Open
Virginia MumfordJeffrey Braithwaite

Abstract

To assess the costs of hospital accreditation in Australia. Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review. Acute care hospitals accredited by the Australian Council for Health Care Standards. Six acute public hospitals across four States. 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. 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.

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Citations

Feb 27, 2016·Stress and Health : Journal of the International Society for the Investigation of Stress·Amy BurtonSiobhan Hugh-Jones
Oct 19, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·L DesveauxN M Ivers
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Feb 3, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Khamis Al-AlawyEhab Ismail Al-Abed Bawadi
Mar 1, 2020·Women and Birth : Journal of the Australian College of Midwives·Jenny GambleDebra K Creedy

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