The Impact of Hospital Accreditation System: Perspective of Organizational Learning


Objectives: Organizational learning is used to being a very important topic about hospital management and even is identified as the source of a hospital’s competitive strength. The study tries to explore the correlation between organizational learning and hospital accreditation awareness from the medical institution operation management’s point of view. Methods: We designed the questionnaire based on the cross-section survey, which included a total of 498 hospitals through-out Taiwan as the subjects (1922 copies of questionnaire were distributed, 4 copies per hospital). As a result, 306 returned the questionnaire (995 copies of valid questionnaire), a valid response rate was 49.94%. Then, we conducted the multiple regression analysis. Results: The factors critical to the operations management accreditation awareness include age, hospital ownership, hospital lever and team learning (p < 0.001). The factors critical to the medical care accreditation awareness include age, education level and team learning (p < 0.001). The team learning will produce positive effect to the hospital accreditation awareness. Conclusions: The organizational continuous learning may enhance the team learning through hospital accreditation operations to ensure that the medical treatment system may provide safe, valid and reliable healthcare and found the hospitals’ competitive strength.

Share and Cite:

Yan, Y. and Kung, C. (2015) The Impact of Hospital Accreditation System: Perspective of Organizational Learning. Health, 7, 1081-1089. doi: 10.4236/health.2015.79123.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Greenfield, D. and Braithwaite, J. (2008) Health Sector Accreditation Research: A Systematic Review. International Journal for Quality in Health Care, 20, 172-183.
[2] Pomey, M.P., Fran?ois, P., Contandriopoulos, A.P., Tosh, A. and Bertrand, D. (2005) Paradoxes of French Accreditation. Quality & Safety in Health Care, 14, 51-55.
[3] Wung, C.H. (2008) The Reform of the Hospital Accreditation System in Taiwan. World Hosp Health Serv., 44, 14-18.
[4] Wang, J.W., Yeh, T.F. and Tseng, K.Y. (2003) The Meta-Analysis for the Trend of Hospital Accreditation in Taiwan. Chung Shan Medical Journal, 14, 513-522. (Original work published in Chinese)
[5] Wei, Y., Chung, K.P. and Cheng, S.H. (2005) The Evolution of Healthcare Quality Assessment: From Accreditation to Report Card System. Taiwan Journal of Public Health, 24, 275-283. (Original work published in Chinese)
[6] Chiu, S.H., Chung, H.J. and Huang, L.J. (2011) Reform Direction and Preliminary Results of the 2011 Edition of the Hospital Accreditation Standards. Journal of Healthcare Quality, 5, 58-62. (Original work published in Chinese)
[7] Su, C.H., Tsai, A. and Wang, Z.M. (2008) The Application of Project Management in the Hospital Accreditation Early. Journal of Project Management and System Engineering, 3, 1-16. (Original work published in Chinese)
[8] Chen, L.H. and Tsai, C.Y. (2009) External Audit of Hospital Facilities—With the ISO 9001 Quality Management System and Hospital Accreditation as Examples. St. Joseph’ Hospital Medical & Nursing Journal, 3, 38-42. (Original work published in Chinese)
[9] Lanteigne, G. (2009) Case Studies on the Integration of Accreditation Canada’s Program in Relation to Organizational Change and Learning: The Health Authority of Anguilla and the Ca’Focella Ospetale di Treviso. Doctorat en administration des services de santé: Faculté de médicine, Université de Montréal. Montréal, QC.
[10] Pomey, M.P., Lemieux-Charles, L., Champagne, F., Angus, D., Shabah, A. and Contandriopoulos, A.P. (2010) Does Accreditation Stimulate Change? A Study of the Impact of the Accreditation Process on Canadian Health Care Organizations. Implementation Science, 5, 31-44.
[11] Simons, R., Kasic, S., Kirkpatrick, A., Vertesi, L., Phang, T. and Appleton, L. (2002) Relative Importance of Designation and Accreditation of Trauma Centers during Evolution of a Regional Trauma System. The Journal of Trauma, 52, 827-833.
[12] Shaw, C.D. (2003) Evaluating Accreditation. International Journal for Quality in Health Care, 15, 455-456.
[13] El-Jardali, F., Jamal, D., Dimassi, H., Ammar, W. and Tchaghchaghian, V. (2008) The Impact of Hospital Accreditation on Quality of Care: Perception of Lebanese Nurses. International Journal for Quality in Health Care, 20, 363-371.
[14] Wiebe, V.A. and Hoskins, S. (2010) Accountability, Accreditation, and Quality in Health Care. Qmentum Quarterly, 4, 10-13.
[15] Martin, L.A., Neumann, C.W., Mountford, J., Bisognano, M. and Nolan, T.W. (2009) Increasing Efficiency and Enhancing Value in Health Care. Institute for Healthcare Improvement, Cambridge, MA.
[16] Cousins, J.B., Goh, S., Clark, S. and Lee, L. (2004) Integrating Evaluative Inquiry into the Organizational Culture: A Review and Synthesis of the Knowledge Base. Canadian Journal of Program Evaluation, 19, 99-141.
[17] Owen, J.M. (2007) Program Evaluation: Forms and Approaches. 3rd Edition, Guilford, New York.
[18] Pagliarulo, M.A. (1986) Accreditation: Its Nature, Process, and Effective Implementation. Physical Therapy, 66, 1114-1118.
[19] Baldi, G., Burani, M., Ghirelli, L. and De Pietri, S. (2000) Certification of an Emergency Department According to UNI EN ISO 9002 Criteria. European Journal of Emergency Medicine, 7, 61-66.
[20] Gluck, J.C. and Hassig, R.Z. (2001) Raising the Bar: The Importance of Hospital Library Standards in the Continuing Medical Education Accreditation Process. Bulletin of the Medical Library Association, 89, 272-276.
[21] Newhouse, R.P. (2006) Selecting Measures for Safety and Quality Improvement Initiatives. The Journal of Nursing Administration, 36, 109-113.
[22] Touati, N. and Pomey, M.P. (2009) Accreditation at a Crossroads: Are We on the Right Track? Health Policy, 90, 156-165.
[23] Chen, J., Rathore, S.S., Radford, M.J. and Krumholz, H.M. (2003) JCAHO Accreditation and Quality of Care for Acute Myocardial Infarction. Health Affairs, 22, 243-254.
[24] Leatherman, S., Berwick, D., Iles, D., Lewin, L.S., Davidoff, F., Nolan, T. and Bisognano, M. (2003) The Business Case for Quality: Case Studies and an Analysis. Health Affairs, 22, 17-30.
[25] Baskind, R., Kordowicz, M. and Chaplin, R. (2010) How Does an Accreditation Programme Drive Improvement on Acute Inpatient Mental Health Wards? An Exploration of Members’ Views. Journal of Mental Health, 19, 405-411.
[26] Peer, K.S. and Rakich, J.S. (2000) Accreditation and Continuous Quality Improvement in Athletic Training Education. Journal of Athletic Training, 35, 188-193.
[27] Fiol, C.M. and Lyles, M. (1985) Organizational Learning. Academy of Management Review, 10, 803-813.
[28] Mulholland, P., Zdrahal, Z., Domingue, J., Hatala, M. and Bernardi, A. (2001) A Methodological Approach to Supporting Organizational Learning. International Journal of Human-Computer Studies, 55, 337-367.
[29] Chou, S.W. (2003) Computer Systems to Facilitating Organizational Learning: IT and Organizational Context. Expert Systems with Applications, 24, 273-280.
[30] Lopez, S.P., Peon, J.M.M. and Ordas, C.J.V. (2005) Organizational Learning as a Determining Factor in Business Performance. The Learning Organization, 12, 227-245.
[31] Sinkula, J.M., Baker, W.E. and Noordewier, T. (1997) A Framework for Market-Based Organizational Learning: Linking Values, Knowledge, and Behavior. Journal of the Academy of Marketing Science, 25, 305-318.
[32] Lin, L.J. and Lee, H.L. (2008) Application of the Balanced Scorecard System in Healthcare Management in the Community Health Care Center. Taipei City Medical Journal, 5, 516-523.
[33] Armstrong, J.S. and Overton, T.S. (1977) Estimating Nonresponse Bias in Mail Surveys. Journal of Marketing Research, 14, 396-402.
[34] Argote, L., Gruenfeld, D. and Naquin, C. (2001) Group Learning in Organizations. In: Turner, M.E., Ed., Groups at Work: Advances in Theory and Research, Lawrence Erlbaum Associates, Mahwah, 369-411.
[35] Fornell, C. and Larcker, D.F. (1981) Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. Journal of Marketing Research, 18, 39-50.
[36] Guzzo, R.A. and Dickson, M.W. (1996) Teams in Organizations: Recent Research on Performance and Effectiveness. Annual Review of Psychology, 47, 307-338.
[37] Horbar, J.D., Rogowski, J., Plesk, P., Delmor, P., Edwards, W.H., Hocker, J., Kantak, A.D., Lewallen, P., et al. (2001) Collaborative Quality Improvement for Neonatal Intensive Care. Pediatrics, 107, 14-22.
[38] Uhlig, P.N., Brown, J., Nason, A.K., Camelio, A., Kendall, E. and John, M. (2002) Eisenberg Patient Safety Awards. System Innovation: Concord Hospital. The Joint Com-mission Journal on Quality and Patient Safety, 28, 666-672.
[39] Edmondson, A.C. (2002) The Local and Variegated Nature of Learning in Organizations: A Group-Level Perspective. Organization Science, 13, 128-146.
[40] Reagans, R., Argote, L. and Brooks, D. (2005) Individual Experience and Experience Working Together: Predicting Learning Rates from Knowing Who Knows What and Knowing How to Work Together. Management Science, 51, 869-881.
[41] Wu, P.Y. (2013) The Relationship among Training of Nursing Staff, Organizational Learning and Quality of Nursing Care for Psychiatric Hospital Nurse. Unpublished Master’s Thesis, AISA University Department of Business Administration, Taichung City. (Original work published in Chinese)
[42] Hirose, M., Imanaka, Y., Ishizaki, T. and Evans, E. (2003) How Can We Improve the Quality of Health Care in Japan? Learning from JCQHC Hospital Accreditation. Health Policy, 66, 29-49.
[43] Reeve, J. and Peerbhoy, D. (2007) Evaluating the Evaluation: Understanding the Utility and Limitations of Evaluation as a Tool for Organizational Learning. Health Education Journal, 66, 120-131.
[44] Shih, H.Y. (2010) A Study of Organizational Learning and Teacher Career Development in Prim School. Chia-Nan Annual Bulletin, 36, 448-464. (Original Work Published in Chinese)
[45] Chen, Y. (2011) An Exploration of Taiwan Health Care Organizations Perceived Learning Organization on Perceived Organizational Innovation and Organizational Performance. Unpublished Master’s Thesis, I-Shou University, Kaohsiung City. (Original work published in Chinese)

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.