Accreditation Maternity and Obstetric Services (MOS), Based on the Accreditation Standards of the Joint Commission International (JCI)
Fereshteh Farzianpour1*, Keramat Nourijelyani2, Hamed Zandiyan3, Telma Zahirian Moghadam4*, Shima Zahirian Moghadam5
1Department of Health Management & Economics, School of Public Health, Tehran University of Medical Sci-ences, Tehran, Iran.
2Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3Health Policy, Hospital Management Research Center, University of Medical Sciences, Tehran, Iran.
4Health Care Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
5Health Management and Economics Research Center, Iran University of Medical Science, Tehran, Iran.
DOI: 10.4236/health.2014.618282   PDF   HTML   XML   4,833 Downloads   7,450 Views   Citations


Background: In recent years various standards have been proposed for assessment and supervision of healthcare systems. One of the most popular of them in health care area is Joint Commission International (JCI) standards of US. This study has been conducted to investigate executive potentials related Accreditation Standards of Maternity and birth services of this commission in hospitals providing maternity and birth services in Ardebil Province. Methods: This is a descriptive-analytic study conducted as cross-sectional on 232 employees of three hospitals in Ardebil including Alavi, Arta and Sabalan who were randomly chosen. This is a multi-stage study that in stage 1, an accreditation tool for maternity and birth services was designed based on JCI standards. Validity and reliability of questionnaire was measured by Alpha Cronbach. In stage 2, score of different dimension of Accreditation Standards of MOS was calculated using data obtained from questionnaires distributed among a sample of 232 hospitals personnel; all of them were working in maternity and birth field. Statistical tests used are one-way analysis of variance (ANOVA), dunnets post hoc and correlation test that all of them were calculated by SPSS V. 18. Results: Result showed that all of the MOS accreditation standards components were capable in selected hospitals. Arta hospital earned the highest score of standards (mean = 149/4) and Alavi hospital received the lowest score (mean = 128/04) of the maximum attainable score (186). Also, significant difference was observed between selected hospitals in total score of MOS standards (F = 50/432, p < 0/00). Conclusion: Based on study findings, there is an inequality between Ardebils hospital in field of MOS accreditation standards. Public hospitals are in more difficult situation compared to private hospitals, therefore Health Care System policy makers must pay attention systematically and specially to implementation of international standards in order to improve health care impacts in public hospitals.

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Farzianpour, F. , Nourijelyani, K. , Zandiyan, H. , Moghadam, T. and Moghadam, S. (2014) Accreditation Maternity and Obstetric Services (MOS), Based on the Accreditation Standards of the Joint Commission International (JCI). Health, 6, 2453-2460. doi: 10.4236/health.2014.618282.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Farzianpour, F., Hosseini, S., Mortezagholi, S. and Mehrbany, K.B. (2014) Accreditation of Patient Family Education (PFE) in the Teaching Hospitals of Tehran University of Medical Sciences from the Nurses View. Pensee Journal, 76, 182-193.
[2] (2011) The Joint Commission Accreditation Hospital. Hospital National Patient Safety Goals.
[3] Woods, M.S. (2010) Effective Handoff Communication, Part 2: Standardizing Processes throughout Your Organization. Joint Commission Perspectives on Patient Safety, 10, 3-5.
[4] Ariah (2011) Improving America’s Hospitals—The Joint Commission’s Annual Report on Quality and Safety. The Joint Commission.
[5] Farzianpour, F., Askari, R., Torabipoor Hamedani, A., Khorshidi, Gh., Amirifar, S. and Hosseini, S. (2011) Accreditation of Emergency Department at a Teaching Hospital in Tehran University of Medical Sciences in 2010. American Journal of Economics and Business Administration, 3, 498-505.
[6] Farzianpour, F., Aghababa, S., Delgoshaei, B. and Haghgoo, M. (2011) Performance Evaluation a Teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model. American Journal of Economics and Business Administration, 3, 277-281.
[7] (2011) Joint Commission Perspectives®. Joint Commission on Accreditation of Healthcare Organizations.
[8] Gagliardi, A.R., Majewski, C., Victor, J.C., et al. (2010) Quality Improvement Capacity: A Survey of Hospital Quality Managers. Quality and Safety in Health Care, 19, 27-30.
[9] Carpenter, K.B., Duevel, M.A., Lee, P.W., et al. (2010) Measures of Patients Safety in Developing and Emerging Countries: A View of the Literature. Quality and Safety in Health Care, 19, 48-54.
[10] Mohammad Pour, A., Mehdi Pour, Y. and Rahday, K.A. (2008) Comparison of Patient and Family Education Standards of the Iranian Ministry of Health, Joint Commission on Accreditation of Health Care Centers of America. Health Information Management, 6, 122.
[11] Farzianpour, F., Arab, M., Amoozagar, S., Fouroshani, A.R., Rashidian, A., Moghadam, M.N. and Hosseini, S. (2011) Evaluation of International Standards of Quality Improvement and Patient Safety (QPS) in Hospitals of Tehran University of Medical Sciences (TUMS) from the Managers’ Point of View. World Applied Sciences Journal, 15, 647-653.
[12] Garisch, C., Netshitangani, T. and Kruss, G. (2009) Baseline Evaluation of the Mnambithi Further Education and Training College. (Commissioned by DANIDA, Support to Education and Skills Development (SESD) Programme Phase II, January), HSRC Library, 1-87.
[13] Regan, L. (2011) Highly Interactive Teaching: A “HIT” with Residents. Academic Emergency Medicine, 15, S229-S230.
[14] Feingold, C.E., Cobb, M.D., Givens, R.H., Arnold, J., Joslin, S. and Keller, J.L. (2008) Student Perceptions of Team Learning in Nursing Education. Journal of Nursing Education, 47, 214-222.
[15] Kazu, I.Y. (2009) The Effect of Learning Styles on Education and the Teaching Process. Journal of Social Sciences, 5, 85-94.
[16] Emami, M.H., Sraydaryan, M., Shayeq, A. and Sotodeh, S. (2008) International Standards for Hospital Accreditation. Translation Thought Publishing Company, Provided: International Institute for Empowering Human Resources, Iran, 177. [Persian]
[17] Tooloei, M., Dehghan Nayeri, N., Faghihzadeh, S. and Sadoughi, A. (2005) Motivational Factors for Nurses Relationship to Patient Education. Journal of Faculty of Nursing & Midwifery Tehran University of Medical Sciences (Hayat), 12, 43-51. [Persian]
[18] Afsharfard, A., Mozaffar, M., Vafaei, H., Kavyani, A., Saberi, A., Zeinalzadeh, M. and Sharifi, M. (2008) Evidence-Based Assignment of Diagnostic Peritoneal Lavage (DPL) Sensitivity in Penetrating Abdominal Trauma. Medical Journal of the Islamic Republic of Iran, 21, 185-188.
[19] Varkey, P. and Natt, N. (2007) The Objective Structured Clinical Examination as an Educational Tool in Patient Safety. The Joint Commission Journal on Quality and Patient Safety, 33, 48-53.
[20] Marinopoulos, S.S., Dorman, T., Ratanawongsa, N., Wilson, L.M., Ashar, B.H., Magaziner, J.L., et al. (2007) Effectiveness of Continuing Medical Education. Agency for Healthcare Research and Quality, Rockville, 28.
[21] Pillow, M. (2007) Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. Joint Commission Resources, Oakbrook Terrace.
[22] McGreevey, M. (2006) Patients as Partners: How to Involve Patients and Families in Their Own Care. Joint Commission Resource, Oakbrook Terrace.
[23] Johnson, B., Abraham, M., Conway, J., Simmons, L., Edgman-Levitan, S., Sodomka, P., Schlucter, J. and Ford, D. (2008) Partnering with Patients and Families to Design a Patient and Family-Centered California Health Care Foundation.
[24] Raeisi, A., Asefzadeh, S. and Yarmohammadiyan, M. (2006) A Comparative Study of Accreditation Information Models in Europe and America. Health Information Management, 3, 1-9.
[25] Scrivens, E. (2012) A Taxonomy of the Dimensions of Accreditation Systems. Social Policy & Administration, 30, 114-124.
[26] Scrivens, E. (1995) International Trends in Accreditation. The International Journal of Health Planning and Management, 10, 165-181.
[27] Farzianpour, F., Hosseini, S.H., Arani, S.S. and Bakhtiyari, A. (2014) Evaluation of International Standards of Patient and Family Rights (PFR) from Chief Nurses’ Point of View in Hospitals of Iran. Pensee Journal, 76, 372-382.
[28] Safdari, R. and Meidani, Z. (2006) Health Services Accreditation Standards for Information Management in Canada, New Zealand and USA: A Comparative Study. Journal of Research in Health Sciences, 6, 1-7.
[29] Rooney, A.L. and Van Ostenberg, P.R. (2010) Licensure, Accreditation, and Certification: Approaches to Health Services Quality. Center for Human Services, Quality Assurance Project.
[30] Boulkedid, R., Alberti, C. and Sibony, O. (2013) Quality Indicator Development and Implementation in Maternity Units. Best Practice & Research Clinical Obstetrics & Gynaecology, 27, 609-619.
[31] AbouZahr, C. (2013) Safe Motherhood: A Brief History of the Global Movement 1947-2012. British Medical Bulletin, 67, 13-25.
[32] Heuer, A.J. (2012) Hospital Accreditation and Patient Satisfaction: Testing the Relationship. Journal for Healthcare Quality, 26, 46-51.
[33] Buetow, S. and Wellingham, J. (2003) Accreditation of General Practices: Challenges and Lessons. Quality and Safety in Health Care, 12, 129-135.
[34] Crystal, L.P. (2008) Developing and Implementing Quality Programs in Health Care Organization. Thesis, School of Wayne State University, Detroit, in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy.
[35] Montagu, D. (2003) Accreditation and Other External Quality Assessment Systems for Health Care. DFID Health Systems Resource Centre, Working Paper.
[36] Pomey, M.P., Contandriopoulos, A.P., Francois, P. and Bertrand, D. (2004) Accreditation: A Tool for Organizational Change in Hospitals? International Journal of Health Care Quality Assurance, 17, 113-124.
[37] Bruce Hosford, S. (2007) The Impact of External Interventions on Improving the Quality of Patient Safety in Hospitals. Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Management in Organizational Leadership, University of Phoenix, Phoenix.
[38] Ito, H. and Sugawara, H. (2011) Relationship between Accreditation Scores and the Public Disclosure of Accreditation Reports: A Cross Sectional Study. Quality and Safety in Health Care, 14, 87-92.

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