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Does Hospital Accreditation or Certification Impact Patient Outcomes? Findings From a Scoping Review for Healthcare
Linda Connor1, Karey Dufour, Inga M Zadvinskis
1Author Affiliations: Assistant Clinical Professor and Program Director (Dr Connor), Assistant Director, Clinical Core (Dr Dufour), and Assistant Director, Community Core (Dr Zadvinskis), Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, The Ohio State University College of Nursing, Columbus; Director of Government Affairs and Educational Programs (Dr Waddell), Organization of Nurse Leaders MA, RI, CT, NH, VT, Boston, Massachusetts; Director of Professional Development and Nurse Scientist (Dr Powell), AtlantiCare Regional Medical Center, Atlantic City, New Jersey; Senior Vice President and Chief Nurse Executive (Dr Gorsuch), Summa Health, Akron; and Assistant Professor of Clinical Practice (Doctoral), The Ohio State University College of Nursing, Columbus; Associate Professor Research & Education Librarian, Nursing Liaison, Affiliate Faculty (Brown), Virginia Commonwealth University School of Nursing, VCU Libraries, Health Sciences Library, Richmond; and Vice President for Health Promotion, University Chief Wellness Officer, Dean and Helene Fuld Health Trust Professor of Evidence-Based Practice (Dr Melnyk), College of Nursing, and Professor of Pediatrics & Psychiatry, College of Medicine, Executive Director, the Helene Fuld Health Trust National Institute for Evidence-Based Practice; and Chief Operating Officer and Clinical Core Director (Dr Gallagher-Ford), Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing & Healthcare, The Ohio State University, College of Nursing, Columbus.
Objective:
This scoping review describes findings from published literature, evaluates the association between hospital accreditation or certification and patient outcomes, and identifies gaps.
Background:
Healthcare accreditation and certification organizations set standards and evaluate whether the standards are met. Despite the extensive efforts of both parties to improve healthcare delivery, poor patient health outcomes still exist in the United States.
Methods:
A comprehensive search of published peer-reviewed literature in English, utilizing the databases OVID MEDLINE, EMBASE, and CINAHL, addressing hospital accreditation or certification and patient outcomes, was conducted.
Results:
There was inconclusive evidence to support a relationship between hospital accreditation and outcomes in US hospitals, except for bariatric accreditation and stroke specialty certification studies for mortality and length of stay. The heterogeneous reporting of measures made it difficult to draw meaningful conclusions.
Conclusion:
Understanding the extent to which accreditation is associated with patient outcomes is required. Future research is needed to establish scientific connections between hospital accreditations or certifications and patient outcomes.
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