Healthcare Quarterly

Healthcare Quarterly 21(4) January 2019 : 21-27.doi:10.12927/hcq.2019.25745
Special Focus on Building Effective Primary Care Systems

Achievement of Accreditation by Community-Based Family Practice – Workload and Cost Analysis

Grace Moe, Allan Bailey, Kristy (Hao) Wang, Keith McNicol and Soudarat Kousonsavath

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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