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Achievement of Accreditation by Community-Based Family Practice - Workload and Cost Analysis
Grace Moe1, Allan Bailey2, Kristy Hao Wang3
1Was the chief executive officer of WestView Primary Care Network from 2008 to 2012. Since 2012, she has been the executive director of innovation and strategic projects at Westview Physician Collaborative/WestView PCN. She has also been the project director of the Family Medicine-Westview Community Teaching Site since 2008. In addition, she is an assistant clinical professor in the Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta. With portfolios that bridge executive decisions, quality improvement and research, Grace Moe has facilitated and led the development and implementation of innovation and quality improvement projects that integrate providers and systems and that engage patients and the communities. She can be reached at: gmoe@ualberta.ca.
Abstract:
Five Alberta family practices achieved accreditation with Accreditation Canada in 2013-2015. This study conducted a workload and cost analysis of achieving accreditation. Human resources (HR) comprised 95% of the total cost. Document preparation constituted 76% of workload and 68% of total HR costs. Centralized content experts were tasked with document write-up. Clinics focused on survey preparation: 56% of staff participated, with the workload being the heaviest on managers. In CAD (2018 $ value), per capita cost was the highest for the 2-physician clinic ($65.78) and lower for the 11-physician ($19.44) clinic. Other cost determinants included culture, organizational structure, physician/staff engagement and pre-existing compliance to standards. A cost-benefit analysis shall provide insights into system-level benefits.
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