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J Korean Med Assoc > Volume 55(1); 2012 > Article
Lee and Shin: Goals and assignments of healthcare accreditation program in Korea

Abstract

Healthcare accreditation program was started in November 2010. The program was operated by newly born institute, Korea Institute for Healthcare Accreditation. Major characteristic of healthcare accreditation program in Korea is spontaneous program that hospitals voluntarily request for accreditation survey. Goals of healthcare accreditation program in Korea are to change the culture of healthcare supply side from supplier oriented to consumer oriented culture and to change regulation for quality improvement from government initiated regulation to self regulated quality improvement activities by hospitals. Objectives of accreditation are to assure the patient safety and to improve quality of healthcare services in hospitals. Korean Association of Hospital Management conducted a survey on the impact of accreditation program on hospital management, the survey was supported by Korea Institute for Healthcare Accreditation. Results of the survey showed that accredited hospital had changed to positive direction in patient safety, decision making process, organizational culture and hospital management. Assignments of accreditation program in Korea to be solved are to develop incentive for active participation of small size hospitals, to improve quality of surveyors and to increase the apprehension of accreditation of general population. Korea Institute for Healthcare Accreditation endeavor to improve quality of surveyors under in depth training program and to advertise accreditation program through radio and TV to the general population. However the incentive program must be developed by government policy.

References

1. Prime Minister's Office. Healthcare accreditation 2009;Seoul: Prime Minister's Office.

2. Ministry of Health and Welfare. Healthcare accreditation 2009;Seoul: Ministry of Health and Welfare.

3. Lee SH. 1995-1999 Evaluation report on hospital services 2000;Seoul: Ministry of Health and Welfare, Korea Health Industry Development Institute.

4. Ministry of Health and Welfare. Terminology on health, welfare and family 2008;Seoul: Ministry of Health and Welfare.

5. Facts about hospital accreditation [Internet] 2011;cited 2011 Dec 26. Washington, DC: The Joint Commission. Available from: http://www.jointcommission.org/assets/1/18/Hospital_Accreditation_1_31_11.pdf

6. Australian Council on Healthcare Standards. The ACHS EQuIP5 guide 2010;5th ed. Sydney: Australian Council on Health-care Standards.

7. International Accreditation Programme [Internet] 2011;cited 2011 Dec 26. Dublin: ISQua. Available from: http://isqua.org/Uploads/CONTENT/CL-004%20Introduction%20to%20the%20IAP.pdf

8. Kim YH. Analysis of effectiveness on hospital management by accreditation system 2011;Seoul: Korea Institute for Healthcare Accreditation.

9. Show CD, Nicklin W, Braithwaite J, Whittaker S, Moldovan M. International survey of accreditation organisations 2010 2011;ISQua 28th International Conference Hong Kong 2011. 2011 Sep 14-17. Hong Kong: Dublin: ISQua.

10. Kim YH. Policy link plan of accreditation program for small and medium size hospital 2011;Seoul: Korea Institute for Healthcare Accreditation.

11. Park AY. Korea Healthcare Accreditation Program is not effective and appropriate. Health Korea News 2011;10. 28.

Table 1
Comparison of changes in patient,s safety and quality improvement after accreditation program
jkma-55-7-i001-l.jpg

Values are presented as percentage.

From Kim YH. Analysis of effectiveness on hospital management by accreditation system. Seoul: Korea Institute for Healthcare Accreditation; 2011 [8].

QI, quality improvement.

*P<0.05, **P<0.01.

Table 2
Comparison of changes in decision process after accreditation program
jkma-55-7-i002-l.jpg

Values are presented as percentage.

From Kim YH. Analysis of effectiveness on hospital management by accreditation system. Seoul: Korea Institute for Healthcare Accreditation; 2011 [8].

QI, quality improvement.

Table 3
Comparison of changes in organizational culture after accreditation program
jkma-55-7-i003-l.jpg

Values are presented as percentage.

From Kim YH. Analysis of effectiveness on hospital management by accreditation system. Seoul: Korea Institute for Healthcare Accreditation; 2011 [8].

QI, quality improvement.

*P<0.05, **P<0.01.

Table 4
Comparison of changes in hospital management after accreditation program
jkma-55-7-i004-l.jpg

Values are presented as percentage.

From Kim YH. Analysis of effectiveness on hospital management by accreditation system. Seoul: Korea Institute for Healthcare Accreditation; 2011 [8].

QI, quality improvement.

**P<0.01.

Table 5
Survey on contents of accreditation organizations cross the countries
jkma-55-7-i005-l.jpg

HCO, health care organization; IAP, International Accreditation Program.



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