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Relationship Between Performance Measurement and Accreditation: Implications for Quality of Care and Patient Safety
Author(s):
Miller MR, Pronovost P, Donithan M, Zeger S, Zhan C, Morlock L, Meyer GS.
Journal:
Am J Med Qual. 2005 Sep-Oct;20(5):239-52.
Year:
2005
Setting:
Hospital
Accreditation:
Hospital (HAP)
Certification:
Not applicable
International:
No
Purpose:
To examine the association between the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accreditation scores and the Agency for Healthcare Research and Quality's Inpatient Quality Indicators and Patient Safety Indicators (IQIs/PSIs).
Design:
Cross-Sectional Study
Methods:
Joint Commission accreditation data from 1997-1999 were matched with institutional IQI/PSI performance from 24 states in the Healthcare Cost and Utilization Project.
Findings:
Most institutions scored high on Joint Commission measures despite AHRQ IQI/PSI performance variation with no significant relationship between them. One factor of each the IQI/PSIs explained the majority of variance on the IQI/PSIs – worse performance on the PSI factor was associated with worse performance on Joint Commission scores. There were no significant relationships between Joint Commission categorical accreditation decisions and IQI/PSI performance – few relationships between Joint Commission scores and IQI/PSI performance. The authors conclude that there is need to continuously revaluate measurement tools to be sure they are providing the public with reliable, consistent info.
Data Year(s):
1997-1999
Key Words:
accreditation decisions, hospital performance, hospitals, patient safety
Impact:
Neutral
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