Date of Conferral
2023
Degree
Ph.D.
School
Health Services
Advisor
Robin Carlson
Abstract
Abstract Hospital accreditation has had wide and longstanding acceptance as a key quality tool to drive efficient, effective healthcare. Researchers have more recently questioned factors commonly related with accreditation achievement given accreditation’s general association to better patient care, risk management, and cost reduction. Even less information was known about predictors of accreditation failure, which could be addressed by hospital administrators in advance of seeking application. Accordingly, the purpose of this cross-sectional study was to examine if hospital structures and processes were predictors of accreditation failure. The research questions explored hospital size, ownership status, geographic location, hospital leadership, empowerment, practice, and innovation and the likelihood of hospital accreditation failure. Donabedian’s quality model provided a theoretical framework to explore relationships. A purposive sampling methodology of 648 U.S. accreditation applications for a hospital nursing accreditation program was employed. Archival data from 2015 to 2020 were analyzed using multivariable logistic regression techniques. Findings suggested hospital location and size were not significant predictors of accreditation failure. However, transformational leadership behaviors, exemplary practice actions, and ownership status were significant predictors of accreditation outcomes. This study added to prior research of hospital accreditation as an achievable quality management tool. Understanding factors predictive of accreditation failure may assist leaders in effectively managing resources needed to achieve successful accreditation and ultimately improve care delivery.
Recommended Citation
Graystone, Rebecca B., "Organizational Characteristics as Predictors of Hospital Accreditation" (2023). Walden Dissertations and Doctoral Studies. 14862.
https://scholarworks.waldenu.edu/dissertations/14862
