Counting the costs of accreditation in acute care: an activity based costing approach
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.
Publication titleBMJ Open
Department/SchoolCollege Office - College of Business and Economics
PublisherBMJ Publishing Group
Place of publicationUnited Kingdom
Rights statementCopyright The Authors Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/