Perspect Nurs Sci.  2018 Oct;15(2):81-91. 10.16952/pns.2018.15.2.81.

A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases

• Seo YJ
• Lee S
• Seo DM
• Yoon JY
• Sagong H
• Kim DE

• KMID: 2424092
• DOI: http://doi.org/10.16952/pns.2018.15.2.81

Abstract

PURPOSE
This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea.
METHODS
A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems.
RESULTS
The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities.
CONCLUSION
This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

Keyword

Accreditation; Nursing homes; Education; Review

MeSH Terms

Accreditation*
Australia
Centers for Medicare and Medicaid Services (U.S.)
Certification
Education
Japan
Joint Commission on Accreditation of Healthcare Organizations
Korea
Long-Term Care*
Motivation
National Health Programs
Nursing Homes
Referral and Consultation
United States

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