Managers’ perceptions of the effects of a national mandatory accreditation program in Danish hospitals. A cross-sectional survey

Author:

Nicolaisen A1ORCID,Bogh S B1,Churruca K2,Ellis L A2,Braithwaite J32,von Plessen C13ORCID

Affiliation:

1. Centre for Quality, Region of Southern Denmark, P.V. Tuxensvej 5.1, Middelfart, Denmark

2. Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia

3. Institute of Regional Health Research, University of Southern Denmark, J. B. Winsløws Vej 19, Odense C DK-5000, Denmark

Abstract

Abstract Objective This study aimed to examine and compare middle and senior hospital managers’ perceptions of the effects of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated in 2015. Design A cross-sectional online questionnaire survey. Setting All 26 somatic and psychiatric public hospitals in Denmark. Participants All senior and middle managers. Methods A questionnaire with open and closed response (five-point Likert scale) questions. Quantitative data were analyzed descriptively and through ordered logistic regression by management level. Qualitative data were subjected to a software-assisted content analysis. Results The response rate was 49% (533/1059). In both the qualitative and quantitative data sets, participants perceived the DDKM as having: led to an increased focus on registration, documentation and additional and unnecessary procedures. While the DDKM was perceived as increasing a focus on quality, the time required for accreditation was at the expense of patient care. There were significant differences by management level, with middle managers having more negative perceptions of the DDKM related to time spent on documentation and registration. Conclusion While the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program.

Funder

Center for Quality, Region of Southern Denmark

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

Reference32 articles.

1. Health sector accreditation research: a systematic review;Greenfield;Int J Qual Health Care,2008

2. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects;Brubakk;BMC Health Serv Res,2015

3. Maintaining standards in surgical training;Jain;Bone Joint J,2006

4. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors;Grasso;J Psychiatr Pract,2005

5. A practical approach to quality improvement: the experience of the RNZCGP practice standards validation field trial;Gillon;N Z Med J,2003

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