Hospital employees’ perception of Joint Commission International Accreditation: effect of re-accreditation

Author:

Zhang HongFan1,Huang Siou-Tang2,Bittle Mark J1,Shi LeiYu1,Engineer Lilly13,Chiu Herng-Chia124

Affiliation:

1. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University , 624 N Broadway, Baltimore, MD 21205, United States

2. Institute for Hospital Management, Tsinghua University , 2279 Lishui Road, Nanshan District, Shenzhen 518055, China

3. Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University , 624 N Broadway, Baltimore, MD 21205, United States

4. Department of Healthcare Administration and Medical Informatics, 100 Shih-Chun 1st road, Sam-Ming district, Kaohsiung Medical University , Kaohsiung, 80708 Taiwan

Abstract

Abstract Joint Commission International (JCI) accreditation is a recognized leader in healthcare accreditation worldwide. It aims to improve quality of care, patient safety, and organizational performance. Many hospitals do not apply for re-accreditation after JCI status expires. Understanding employees’ perceptions of JCI accreditation would benefit hospital management. We aimed to examine whether re-accredited hospital employees perceived more significant benefits and were more likely to recommend JCI to other hospitals than ex-accredited employees. This is a prospective cross-sectional study with a comparison group design. Survey questionnaires, developed from a qualitative study, included perceptions of challenges, benefits, and overall rating of JCI accreditation. An electronic-based questionnaire was distributed to physicians, nurses, medical technicians, and administrative staff in five private Obstetrics and Gynecology hospitals in China, March–April 2023. Descriptive and linear regression analyses were performed. The statistically significant level is P-value <.05. Of 2326 employees, 1854 (79.7%) were included in the study after exclusions, 1195 were re-accredited, and 659 were ex-accredited. Perceptions of JCI accreditation were positive, as both groups reported a mean score >4.0 regarding the overall benefits. Adjusted for covariates, re-accredited employees were more willing to recommend JCI accreditation to other hospitals than ex-accredited employees. Re-accredited employees perceived greater benefits of JCI accreditation and were more willing to recommend it to other hospitals, suggesting that perceived benefits contribute to a desire to maintain and sustain JCI accreditation. Employee participation is vital for its effective implementation. Employees’ perceived challenges and benefits may provide insights for healthcare leaders considering pursuing and reapplying for JCI accreditation.

Publisher

Oxford University Press (OUP)

Reference27 articles.

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