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Table 2 Key individual, program, organisational and system-level factors and themes perceived to enable implementation of accreditation programs

From: Stakeholder perspectives on implementing accreditation programs: a qualitative study of enabling factors

Key factors Themes
The program is collaborative, valid and uses relevant standards Accreditation agency use of a collaborative ethos increases healthcare organisations’ engagement in programs
The face validity of programs is largely determined by the level of inter-survey and inter-surveyor reliability
The clarity and focus of standards affects the perceived relevance of programs and how efficiently they can be implemented
Accreditation is favourably received by health professionals Health professionals’ views of the benefits and costs of accreditation affects their engagement in programs
Regular accreditation agency feedback to healthcare organisations using effective communication and framing strategies can affect professionals’ views of the value of programs
Healthcare organisations are capable of embracing accreditation Leadership styles that champion quality and safety facilitate healthcare organisations’ uptake of CQI via accreditation
Programs have limited capacity to drive improvements in healthcare organisations lacking cultures that support staff-wide efforts to integrate CQI into everyday practices
Accreditation is appropriately aligned with other regulatory initiatives and supported by relevant incentives Accreditation programs are more likely to be implemented effectively when they are streamlined with other regulatory initiatives to engender a holistic approach to health system quality and safety
  Healthcare organisations’ participation in accreditation programs is encouraged by significant financial incentives that are provided by governments and insurance agencies