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The survey will ascertain respondents' views of the relative importance of accreditation elements and their role in promoting organisational improvement.
A free-text section will allow participants to describe examples where specific accreditation elements have promoted measurable change in their organisation.
Specific accreditation elements to be explored within focus groups will be informed by research literature 5 44 and the combined accreditation knowledge accumulated by research partners.
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The elements of accreditation implementation typically include hiring and training surveyors, scheduling accreditation visits, developing a scoring system for the elements in the standards, and categorizing and reporting the results.
Specific issues to be examined include: the strengths and consequences of different accreditation models; the critical elements of accreditation processes that stimulate behavioural change in health services and healthcare professionals; and the development and use of accreditation standards.
The challenge is to build on facilitating factors, while reducing the elements of accreditation that do not contribute to its impact.
Nevertheless, not all planned elements of accreditation appeared to contribute to its outcomes, so there may be room for improving efficiency of the program.
The experts disapproved of what they regarded as an obsession with assessment tools in the assessment literature, whereas elements like accreditation standards tended to be neglected.
Study 2 aims to deduce the critical elements of accreditation processes that stimulate improvement, and identify factors that drive behaviour change in health services and their staff.
Specific elements of accreditation such as standards design, use of feedback, indicator requirements, survey interval and structure all deserve further study.
A key element of accreditation is audit and feedback.
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