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


Mumford, V and Greenfield, D and Forde, K and Hogden, A and Westbrook, J and Braithwaite, J, Counting the costs of accreditation in acute care: an activity based costing approach, BMJ Open, 5, (9) pp. 1-9. ISSN 2044-6055 (2015) [Refereed Article]


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Copyright The Authors Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

DOI: doi:10.1136/bmjopen-2015-008850


Objectives: To assess the costs of hospital accreditation in Australia.

Design: Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review.

Setting: Acute care hospitals accredited by the Australian Council for Health Care Standards.

Participants: Six acute public hospitals across four States.

Results: 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.

Conclusions: 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.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Greenfield, D (Professor David Greenfield)
UTAS Author:Hogden, A (Dr Anne Hogden)
ID Code:109653
Year Published:2015
Web of Science® Times Cited:19
Deposited By:TSBE
Deposited On:2016-06-24
Last Modified:2020-02-07
Downloads:217 View Download Statistics

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