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Int J Qual Health Care. 2014 Aug;26(4):372-7. doi: 10.1093/intqhc/mzu039. Epub 2014 Apr 15.

Health service accreditation reinforces a mindset of high-performance human resource management: lessons from an Australian study.

Author information

  • 1Faculty of Medicine, Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia.
  • 2Centre for Work, Organisation and Wellbeing, Griffith University, Brisbane, Australia.

Abstract

OBJECTIVE:

To investigate whether an accreditation program facilitates healthcare organizations (HCOs) to evolve and maintain high-performance human resource management (HRM) systems.

DESIGN:

Cross-sectional multimethod study.

SETTING AND PARTICIPANTS:

Healthcare organizations participating in the Australian Council on Healthcare Standards Evaluation and Quality Improvement Program (EQuIP 4) between 2007 and 2011.

MAIN OUTCOME MEASURES:

Ratings across the EQuIP 4 HRM criteria, a clinical performance measure, surveyor reports (HRM information) and interview data (opinions and experiences regarding HRM and accreditation).

RESULTS:

Healthcare organizations identified as high performing on accreditation HRM criteria seek excellence primarily because of internal motivations linked to best practice. Participation in an accreditation program is a secondary and less significant influence. Notwithstanding, the accreditation program provides the HCO opportunity for internal and external review and assessment of their performance; the accreditation activities are reflective learning and feedback events.

CONCLUSIONS:

This study reveals that HCOs that pursue highly performing HRM systems use participation in an accreditation program as an opportunity. Their organizational mindset is to use the program as a tool by which to reflect and obtain feedback on their performance so to maintain or improve their management of staff and delivery of care.

© The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

KEYWORDS:

HRM; accreditation; healthcare; research

PMID:
24737831
[PubMed - indexed for MEDLINE]
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