Managers' perceptions of the effects of a national mandatory accreditation program in Danish hospitals: A cross-sectional survey

A Nicolaisen*, S B Bogh, K Churruca, L A Ellis, Jeffrey Braithwaite, C von Plessen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Objective: This study aimed to examine and compare middle and senior hospital managers' perceptions of the effects of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated in 2015.

Design: A cross-sectional online questionnaire survey.

Setting: All 26 somatic and psychiatric public hospitals in Denmark.

Participants: All senior and middle managers.

Methods: A questionnaire with open and closed response (five-point Likert scale) questions. Quantitative data were analyzed descriptively and through ordered logistic regression by management level. Qualitative data were subjected to a software-assisted content analysis.

Results: The response rate was 49% (533/1059). In both the qualitative and quantitative data sets, participants perceived the DDKM as having: led to an increased focus on registration, documentation and additional and unnecessary procedures. While the DDKM was perceived as increasing a focus on quality, the time required for accreditation was at the expense of patient care. There were significant differences by management level, with middle managers having more negative perceptions of the DDKM related to time spent on documentation and registration.

Conclusion: While the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program.

Original languageEnglish
JournalInternational Journal for Quality in Health Care
Volume31
Issue number5
Pages (from-to)331-337
ISSN1353-4505
DOIs
Publication statusPublished - Jun 2019

Fingerprint

Mandatory Programs
Accreditation
Cross-Sectional Studies
Denmark
Documentation
Unnecessary Procedures
Quality of Health Care
Public Hospitals
Psychiatric Hospitals
Logistic Models
Surveys and Questionnaires

Keywords

  • certification/accreditation of hospitals
  • quality management
  • survey

Cite this

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title = "Managers' perceptions of the effects of a national mandatory accreditation program in Danish hospitals: A cross-sectional survey",
abstract = "Objective: This study aimed to examine and compare middle and senior hospital managers' perceptions of the effects of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated in 2015.Design: A cross-sectional online questionnaire survey.Setting: All 26 somatic and psychiatric public hospitals in Denmark.Participants: All senior and middle managers.Methods: A questionnaire with open and closed response (five-point Likert scale) questions. Quantitative data were analyzed descriptively and through ordered logistic regression by management level. Qualitative data were subjected to a software-assisted content analysis.Results: The response rate was 49{\%} (533/1059). In both the qualitative and quantitative data sets, participants perceived the DDKM as having: led to an increased focus on registration, documentation and additional and unnecessary procedures. While the DDKM was perceived as increasing a focus on quality, the time required for accreditation was at the expense of patient care. There were significant differences by management level, with middle managers having more negative perceptions of the DDKM related to time spent on documentation and registration.Conclusion: While the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program.",
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author = "A Nicolaisen and Bogh, {S B} and K Churruca and Ellis, {L A} and Jeffrey Braithwaite and {von Plessen}, C",
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Managers' perceptions of the effects of a national mandatory accreditation program in Danish hospitals : A cross-sectional survey. / Nicolaisen, A; Bogh, S B; Churruca, K; Ellis, L A; Braithwaite, Jeffrey; von Plessen, C.

In: International Journal for Quality in Health Care, Vol. 31, No. 5, 06.2019, p. 331-337.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Managers' perceptions of the effects of a national mandatory accreditation program in Danish hospitals

T2 - A cross-sectional survey

AU - Nicolaisen, A

AU - Bogh, S B

AU - Churruca, K

AU - Ellis, L A

AU - Braithwaite, Jeffrey

AU - von Plessen, C

PY - 2019/6

Y1 - 2019/6

N2 - Objective: This study aimed to examine and compare middle and senior hospital managers' perceptions of the effects of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated in 2015.Design: A cross-sectional online questionnaire survey.Setting: All 26 somatic and psychiatric public hospitals in Denmark.Participants: All senior and middle managers.Methods: A questionnaire with open and closed response (five-point Likert scale) questions. Quantitative data were analyzed descriptively and through ordered logistic regression by management level. Qualitative data were subjected to a software-assisted content analysis.Results: The response rate was 49% (533/1059). In both the qualitative and quantitative data sets, participants perceived the DDKM as having: led to an increased focus on registration, documentation and additional and unnecessary procedures. While the DDKM was perceived as increasing a focus on quality, the time required for accreditation was at the expense of patient care. There were significant differences by management level, with middle managers having more negative perceptions of the DDKM related to time spent on documentation and registration.Conclusion: While the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program.

AB - Objective: This study aimed to examine and compare middle and senior hospital managers' perceptions of the effects of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated in 2015.Design: A cross-sectional online questionnaire survey.Setting: All 26 somatic and psychiatric public hospitals in Denmark.Participants: All senior and middle managers.Methods: A questionnaire with open and closed response (five-point Likert scale) questions. Quantitative data were analyzed descriptively and through ordered logistic regression by management level. Qualitative data were subjected to a software-assisted content analysis.Results: The response rate was 49% (533/1059). In both the qualitative and quantitative data sets, participants perceived the DDKM as having: led to an increased focus on registration, documentation and additional and unnecessary procedures. While the DDKM was perceived as increasing a focus on quality, the time required for accreditation was at the expense of patient care. There were significant differences by management level, with middle managers having more negative perceptions of the DDKM related to time spent on documentation and registration.Conclusion: While the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program.

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KW - quality management

KW - survey

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JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

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ER -