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

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journal contribution
posted on 2023-05-18, 20:19 authored by Mumford, V, Greenfield, D, Forde, K, Anne HogdenAnne Hogden, Westbrook, J, Braithwaite, J

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 title

BMJ Open










College Office - College of Business and Economics


BMJ Publishing Group

Place of publication

United Kingdom

Rights statement

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

Repository Status

  • Open

Socio-economic Objectives

Evaluation of health and support services not elsewhere classified

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