ACCREDITATION AND HEALTH SERVICE DELIVERY IN RWANDA - A CASE STUDY OF ACCREDITATION PROJECT OF KING FAISAL HOSPITAL, KIGALI

Jean Paul Karegeya, Osiemo Kengere, Mohamed Bogere

Abstract


Accreditation is a crucial internationally recognized evaluation process used to assess and enhance the quality, efficiency, and effectiveness of healthcare organizations. It is based on the idea that adhering to evidence-based standards can lead to high-quality healthcare services. However, accreditation often involves significant costs, making it essential to evaluate its worth, especially in resource-limited regions like public healthcare organizations in Rwanda. This study examined the contribution of the accreditation project to the quality of healthcare in King Faisal Hospital, Kigali. This study used a retrospective research design with a quantitative approach whereby 354 patient records were reviewed, of which 71 represented the period before accreditation, 169 represented the period after the first accreditation, and 114 represented the year in which the hospital was preparing for the third accreditation. In addition, secondary data analysis was conducted on available data from the Office of Continuous Quality Improvement (CQI), Office of the Chief Executive Officer, and Office of Human Resources. One-way analysis of variance was performed at a significance level of <0.05 to test for differences between the three time periods examined. The findings resulting from this analysis showed that accreditation is associated with improved healthcare service delivery (p < 0.001). The health service provided was permitted for only 11.3% of the patients served before the hospital's accreditation, while it was permitted for 90.5% of the patients served after the accreditation. In addition, the accreditation process optimized management and leadership efforts to improve the delivery of healthcare services through ratification, implementation, and monitoring of clinical policies, guidelines, and protocols, as well as an established workforce capacity-building system. Therefore, it is worth tackling accreditation as a strategic approach to improving the quality of healthcare services.

 

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References


Abdullah Alkhenizana and Charles Shaw (2011). Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature. Security. Riyadh.

Al-Awa, B., A. Jacquery, A. Almazrooa, H. Habib, K. Al-Noury, Deek, B. E., … I. Devreux. (2011). Comparison of patient safety and quality of care indicators between pre-and post-accreditation period in King Abdulaziz University Hospital. Res. J. Med. Sci, 5(1), 61–66.

Braithwaite, J., Westbrook, J., Pawsey, M., Greenfield, D., Naylor, J., Iedema, R., … Gibberd, R. (2006). A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]. BMC Health Services Research, 6, 113. https://doi.org/10.1186/1472-6963-6-113

COHSASA. (2015). Cohsasa Accreditation Standards.

COHSASA. (2016). Annual Report 1st July 2015 – 30th June 2016. Making healthcare safer and better. Cape Town.

COHSASA. (2018a). Approach.

COHSASA. (2018b). COHSASA Standards.

Devkaran, S., & O’Farrell, P. N. (2015). The impact of hospital accreditation on quality measures: an interrupted time series analysis. BMC Health Services Research, 15, 137. https://doi.org/10.1186/s12913-015-0784-5

Lane, J., Barnhart, S., Luboga, S., Arudo, J., Urassa, D., & Hagopian, A. (2014). The Emergence of Hospital Accreditation Programs in East Africa: Lessons from Uganda, Kenya, and Tanzania. Global Journal of Medicine and Public Health 3(2), 2277–9604.

MINISANTE. (2014). Rwanda Hospital Accreditation Standards.

Mumford, V., Reeve, R., Greenfield, D., Forde, K., Westbrook, J., & Braithwaite, J. (2015). Is accreditation linked to hospital infection rates? A 4-year, data linkage study of Staphylococcus aureus rates and accreditation scores in 77 Australian acute hospitals. International Journal for Quality in Health Care, 27(6), 479–485. https://doi.org/10.1093/intqhc/mzv078

Nouwens, E., Van Lieshout, J., Bouma, M., Braspenning, J., & Wensing, M. (2014). Effectiveness of improvement plans in primary care practice accreditation: A clustered randomized trial. PLoS ONE, 9(12), 1–14. https://doi.org/10.1371/journal.pone.0114045

Pomey, M.-P., Lemieux-Charles, L., Champagne, F., Angus, D., Shabah, A., & Contandriopoulos, A.-P. (2010). Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implementation Science: IS, 5(31), 1–14. https://doi.org/10.1186/1748-5908-5-31

Sack, C., Scherag, A., Lütkes, P., Günther, W., Jöckel, K.-H., & Holtmann, G. (2011). Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care / ISQua, 23(3), 278–83. https://doi.org/10.1093/intqhc/mzr011

Salmon, J. W., Heavens, J., Lombard, C., & Tavrow, P. (2003). The Impact of Accreditation on the Quality of Hospital Care: KwaZulu-Natal Province, Republic of South Africa.

Shammari Al, M., Habib, S. Al, Shubrami, D. Al, & Rashidi, M. Al. (2015). Impact of Hospital ‘Accreditation on Patient Safety in Hail City, Saudi Arabia: Nurses‘ Perspective, 4(1), 1–5. https://doi.org/10.9790/1959-041XXXXX

Woodhead, A. (2013). Scoping medical tourism and international hospital accreditation growth. International Journal of Health Care Quality Assurance, 26(8). https://doi.org/10.1108/IJHCQA-10-2011-0060.




DOI: http://dx.doi.org/10.46827/ejsss.v9i2.1586

Copyright (c) 2023 Jean Paul Karegeya, Osiemo Kengere, Mohamed Bogere

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