title: Tracer methodology: an appropriate tool for assessing compliance with accreditation standards?
abstract: OBJECTIVE
  Tracer methodology has been used by Accreditation Canada since 2008 to collect evidence on the quality and safety of care and services, and to assess compliance with accreditation standards. Given the importance of this methodology in the accreditation program, the objective of this study is to assess the quality of the methodology and identify its strengths and weaknesses.
  
  
  METHODS
  A mixed quantitative and qualitative approach was adopted to evaluate consistency, appropriateness, effectiveness and stakeholder synergy in applying the methodology. An online questionnaire was sent to 468 Accreditation Canada surveyors.
  
  
  RESULTS
  According to surveyors' perceptions, tracer methodology is an effective tool for collecting useful, credible and reliable information to assess compliance with Qmentum program standards and priority processes. The results show good coherence between methodology components (appropriateness of the priority processes evaluated, activities to evaluate a tracer, etc.). The main weaknesses are the time constraints faced by surveyors and management's lack of cooperation during the evaluation of tracers.
  
  
  CONCLUSIONS
  The inadequate amount of time allowed for the methodology to be applied properly raises questions about the quality of the information obtained. This study paves the way for a future, more in-depth exploration of the identified weaknesses to help the accreditation organization make more targeted improvements to the methodology. Copyright © 2016 John Wiley & Sons, Ltd.
authors: Department of Agri-Food Economics and Consumer Sciences, Université Laval, Quebec, Quebec, Canada.
authors: Chantal
authors: C
authors: Bouchard
authors: Department of Agri-Food Economics and Consumer Sciences, Université Laval, Quebec, Quebec, Canada.
authors: Olivier
authors: O
authors: Jean
mesh_terms: D000068:Accreditation / Q000592:standards*; D002170:Canada; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D019983:Guideline Adherence / Q000458:organization & administration; D006801:Humans; D058996:Quality Improvement / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration; D011795:Surveys and Questionnaires
keywords: accreditation; evaluation; peer reviewer; tracer methodology