title: Value and impact of international hospital accreditation: a case study from Jordan.
abstract: We assessed the economic impact of Joint Commission International hospital accreditation on 5 structural and outcome hospital performance measures in Jordan. We conducted a 4-year retrospective study comparing 2 private accredited acute general hospitals with matched non-accredited hospitals, using difference-in-differences and adjusted covariance analyses to test the impact and value of accreditation on hospital performance measures. Of the 5 selected measures, 3 showed statistically significant effects (all improvements) associated with accreditation: reduction in return to intensive care unit (ICU) within 24 hours of ICU discharge; reduction in staff turnover; and completeness of medical records. The net impact of accreditation was a 1.2 percentage point reduction in patients who returned to the ICU, 12.8% reduction in annual staff turnover and 20.0% improvement in the completeness of medical records. Pooling both hospitals over 3 years, these improvements translated into total savings of US$ 593 000 in Jordan's health-care system.
authors: The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
authors: Y A
authors: YA
authors: Halasa
authors: The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
authors: W
authors: W
authors: Zeng
authors: Jordan Health Care Accreditation Project, Amman, Jordan.
authors: E
authors: E
authors: Chappy
authors: The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
authors: D S
authors: DS
authors: Shepard
mesh_terms: D000068:Accreditation; D016304:Hospitals, Private / Q000592:standards*; D038622:Internationality; D007597:Jordan; D019982:Organizational Case Studies; D012189:Retrospective Studies