Value and impact of international hospital accreditation: A case study from Jordan

  • Y.A. H
  • W. Z
  • E. C
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Abstract

We assessed the economic impact of Joint Commission International hospital accreditation on 5 structural and outcome hospital performance measures in Jordan. We conducted a 4-year retrospective study comparing 2 private accredited acute general hospitals with matched non-accredited hospitals, using differencein-differences and adjusted covariance analyses to test the impact and value of accreditation on hospital performance measures. Of the 5 selected measures, 3 showed statistically significant effects (all improvements) associated with accreditation: reduction in return to intensive care unit (ICU) within 24 hours of ICU discharge; reduction in staff turnover; and completeness of medical records. The net impact of accreditation was a 1.2 percentage point reduction in patients who returned to the ICU, 12.8% reduction in annual staff turnover and 20.0% improvement in the completeness of medical records. Pooling both hospitals over 3 years, these improvements translated into total savings of US$ 593 000 in Jordan's health-care system.Copyright © 2015, World Health Organization. All rights reserved.

Author-supplied keywords

  • *accreditation
  • *hospital
  • Jordan
  • article
  • health care system
  • hospital bed capacity
  • hospital charge
  • hospital discharge
  • hospital personnel
  • hospital readmission
  • human
  • medical record
  • radiography
  • retrospective study
  • salary
  • sensitivity analysis

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Authors

  • Halasa Y.A.

  • Zeng W.

  • Chappy E.

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