Skip to main content

For-Profit Enterprise in Health Care (1986) / Chapter Skim
Currently Skimming:

9 Compliance of Multihospital Systems with Standards of the Joint Commission on Accreditation of Hospitals
Pages 375-384

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 375...
... Today's environment, however, is a very different one. Increasingly constrained resources, more regulation, advances in medical technology, greater diversity of delivery systems, growing public demand en cl awareness, increased burden of liability protection, and pressure of capital financing have all contributed to creating the current "less supportive" (Longest, 1980)
Read the entire page →
From page 376...
... However, empirical investigations have been done which evaluate the impact of specific organizational attributes on health outcomes. The ejects of board composition and structure on hospital efficiency, as measured by cost per patient day and case, and quality, as measurecl by post-surgical complications rate and medical-surgical death rate, were investigated by Kaufman et al.
Read the entire page →
From page 377...
... The latter data were used to measure specific organizational characteristics not included in the ICAH data set. The ICAH hospital survey records selected for inclusion in this data set were all hospitals surveyed between June 1, 1982, and May 31, 1983.
Read the entire page →
From page 378...
... These top problem SRF items for both recommendations and contingencies were then grouped into their standard chapters. SRF items are grouped into sections that relate directly to chapters in the Accreditation Manualfor Hospitals.
Read the entire page →
From page 379...
... accreditation decisions. Compliance with ICAH Standards In a typical hospital, ICAH asks approximately 2,400 questions, each designed to judge compliance with specific JCAH standards.
Read the entire page →
From page 380...
... These results indicate that autonomous, notfor-profit hospitals tend, as far as contingencies are concerned, to have greater difficulty in complying with JCAH standards, whereas autonomous investor-owned tend to have a higher level of nonaccreditation. However, it is importar~t to note that there was not a statistically significant association found between hospital type and accreditation outcome.
Read the entire page →
From page 381...
... Thus, hospitals are more likely to be accredited without contingencies that are locased in areas with a population size of between 100,000 to 2,500,000 (indicated by the 381 positive coefficient of SMSA categories 4, 5, 3, and 2) , a member of a multihospital system, not located in the West Central, East Central, West South Central, and Mountain regions (indicated by the negative coefficients)
Read the entire page →
From page 382...
... Future analyses should explore the impact of more specific characteristics upon accreditation outcome. In summary, it is important to emphasize that the numerous characteristics' impact on a hospital's ability to comply with ICAH standards and that any of the results taken in isolation would not accurately represent the complicated profile of a hospital accredited without contingencies.
Read the entire page →
From page 383...
... Thus, hospitals accreditecl without contingencies are more likely to be located in areas where the population is between 100,000 and 2,500,000 people, located in a region other than the East Central, West Central, West South Central, and Mountain, not a community hospital, a member of a multihospital system, and of smaller bed size. Finally, these findings do not support the suspicion that ICAH standards may possibly discriminate against hospitals that are part of multihospital systems.
Read the entire page →
From page 384...
... This includes a variety of facilities including university hospitals (N = 5,9001. Multihospital system An acute care facility owned or leased by a system, including acute care facilities operated by the Veterans Administration.
Read the entire page →

Key Terms

  • accreditation outcome
  • icah standards
  • received contingencies
  • bed size
  • patient care

  • accreditation decisions
  • organizational structures
  • srf items
  • hospital type
  • south central

  • population size
  • confounding variables
  • east central
  • percent received
  • west south

  • community hospital
  • west central
  • hospitals received
  • jcah standards
  • central region

  • items resulting
  • differences identified
  • organizational variables
  • results indicate
  • multivariate analyses

  • multiple regression
  • organizational characteristics
  • study investigates
  • medical staffpartic
  • srf item


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.