THE IMPACT OF MEETING ACCREDITATION STANDARDS ON THE QUALITY OF THE ELECTRONIC HEALTH RECORDS

MOHAMED HOSSAM ATTIA; ABDELNASSER IBRAHIM

doi:10.22159/ajpcr.2020.v13i5.37013

Authors

MOHAMED HOSSAM ATTIA Area Quality Manager, Magrabi Hospitals and Centers, 7934 Al Nuzlah Al Yamania Dist , Jeddah , Saudi Arabia. MBA, Edinburgh Business School, Heriot-Watt University Gait 11, The Avenue, Currie EH14 4AS, United Kingdom.
ABDELNASSER IBRAHIM PHD Pathology, REACHE Northwest, Salford Royal Hospital, Stott Lane, Salford, M6 8HD, Greater Manchester, United Kingdom.

DOI:

https://doi.org/10.22159/ajpcr.2020.v13i5.37013

Keywords:

Accreditation, Quality Improvement, Medical documentation

Abstract

Objective: Electronic health records (EHRs) are considered a way to make the management of patient information easier, improve efficiency, and decrease costs related to medical information management. Compliance with requirements from accreditation bodies on quality of documentation ensures the complete and accurate patient information in the EHR. The purpose of this study is to measure the effect of quality accreditation on the quality of documentation in the EHR.

Methods: A simple random sample of 18% of patient records was manually selected each month during the entire study period from the population of discharged patients. The auditing process included 18 months starting from January 2014 until June 2015. The data collection was performed by a quality management unit using a modified medical record completeness checklist adapted from Joint Commission International (JCI) criteria.

Results: The results of the study show the improvement in compliance with complete medical records’ documentation after the JCI accreditation. However, after the accreditation, the compliance suffers a dramatic fall which could be referred to the post-accreditation slump. The compliance then improved again to reach higher levels of compliance. Using paired t-test, the mean of total compliance with complete and accurate medical records in October 2014 was less than in May 2015.

Conclusion: This study highlighted the performance of one process before and after the first accreditation of the organization showing the real difference between the performance before and after the accreditation and explaining the drop that happened just after the accreditation.

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