J Korean Med Sci.  2012 May;27(Suppl):S61-S69. 10.3346/jkms.2012.27.S.S61.

Establishment, Present Condition, and Developmental Direction of the New Korean Healthcare Accreditation System

• Chang HS
• Lee SH

• KMID: 1714490
• DOI: http://doi.org/10.3346/jkms.2012.27.S.S61

Abstract

On July 23rd, 2010 a revised medical law (Article 58) was passed to change existing evaluation system of medical institutions to an accreditation system. The new healthcare accreditation system was introduced to encourage medical institutions to work voluntarily and continuously to improve patient safety and medical service quality. Changes regarding the healthcare accreditation system included the establishment of an accreditation agency, the voluntary participation of medical institutions, accreditation standards centering on the treatment process and patient safety, tracing methodology, and the announcement of comprehensive results concerning accreditation. Despite varying views on the healthcare accreditation system, including some that are critical, it is meaningful that the voluntary nature of the system acknowledges that the medical institutions must be active agents in improving medical service quality. Healthcare quality is not improved instantaneously, but instead gradually through continuous communication within the clinical field. For this accreditation system to be successful, followings are essential: the accreditation agency becomes financially independent and is managed efficiently, the autonomy and regulation surrounding the system are balanced, the professionalism of the system is ensured, and the medical field plays an active role in the operation of the system.

Keyword

Accreditation; Quality of Healthcare; Quality Improvement

MeSH Terms

Accreditation/*legislation & jurisprudence
Delivery of Health Care/*legislation & jurisprudence
Health Policy/legislation & jurisprudence
Humans
Quality Improvement
Quality of Health Care
Republic of Korea

Figure

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  Fig. 1 Detailed procedure of medical institution accreditation.

Reference

1. Kim EK, Kim Y, Park JH, Park JH, Kang MA. Opinions and strategies on the national hospital evaluation program. J Korean Acad Nurs Adm. 2007. 13:40–52.

2. Department of Healthcare Resources. The introduction of healthcare accreditation system: an explanatory report of revised medical law. 2010. Seoul: Ministry of Health and Welfare.

3. Lee KS. The introduction and political tasks of healthcare accreditation system. J Korean Hosp Assoc. 2010. 327:28–39.

4. Hyun SK. The problems and developmental directions of the medical institution evaluation standards 2004. J Korean Hosp Assoc. 2005. 297:44–50.

5. Lee SH. The problems and developmental directions of the medical institution evaluation system 2004. J Korean Hosp Assoc. 2005. 297:32–43.

6. Kim Y, Lee SI, Kim CW, Kang M, Kim EK, Chin HJ, Kwon YD, Jin HJ, Park JH, Park JH, et al. A study of long-term developmental view of medical institution evaluation systems. 2005. Seoul: Department of Health Policy and Management, Seoul National University College of Medicine, Ministry of Health and Welfare.

7. Lee SH, You SJ, Ko YK, Kim YM, Park BH, Suh SJ, Lee JS, Lim E, Chang SY, Choi YK. Hospital evaluation programme: survey report. 2007. Seoul: Ministry of Health and Welfare, Korea Health Industry Development Institute.

8. Cho WH, Kim Y, Kim HM, Shin E, Shin HT, Ahn HS, You SJ, Lee SG, Lee SI, Lee SH, Lee HY. . A study on the political directions and developmental directions of medical institution evaluation systems. 2006. Seoul: Department of Preventive Medicine, Yonsei University College of Medicine, Korea Health Industry Development Institute.

9. Shin HS. A basic intent of adoption of the medical institution accreditation system: patient safety and the qaulity of healthcare improvement. J Korean Hosp Assoc. 2010. 327:18–27.

10. Policy Evaluation and Review. The analysis of institution and actual condition of medical institution evaluation systems. 2009. Seoul: Office of The Prime Minister.

11. Lee SH, Kim HM, Kim JH, Kim JB, Kang HJ, Shin HS, Lee SG, Lee JK, Lee HY, Chung YH, Choi KS. Problems and developmental directions of medical institution evaluation systems. 2006. Seoul: Korean Hospital Association.

12. Shin YS. Hospital accreditation: a universal perspective. World Hosp Health Serv. 1995. 31:22–28.

13. Choi JH. The enforcement of healthcare accreditation system and its future tasks. 2010. Seoul: Quality Improvement Nursing Society.

14. Department of Healthcare Resources. The enforcement ordinance and detailed enforcement regulations for application of medical laws. 2010. Seoul: Ministry of Health and Welfare.

15. Shaw CD. Toolkit for accreditation programs: some issues in the design and redesign of external assessment and improvement systems. 2004. Dublin: International Society for Quality in Healthcare (ISQua), ALPHA Council For the World Bank.

16. Cho WH, Kim JY, Lee SM, Shin KY, Lee SM, Shin KY, Sung HM. A study to evaluate and develop improvemental plans of the medical institution evaluation system 2007. 2008. Seoul: Institute of Health Services Research, Yonsei University, Korean Hospital Association.

17. Cho WH, Lee SG, Kim SY, Kim JY, Lee SM, Chang HS, Kim JL, Kim JM, Kang HH. A study to develope solutions to establish and operate a healthcare accreditation agency and to evaluate for small and medium hospitals. 2009. Seoul: Institute of Health Services Research, Yonsei University, Korea Health Industry Development Institute.

18. Cho WH, Lee SI, Kim SY, Lee SM, Chung JB, Chun JH, Cho HA, Kang HH. A study to introduce a healthcare accreditation system from medical institution systems. 2008. Seoul: Institute of Health Services Research, Yonsei University, Ministry of Health and Welfare.

19. Ministry of Health and Welfare. Accreditation Standards 2010. 2010. Seoul: Ministry of Health and Welfare, Korea Establishment Committee for Healthcare Accreditation.

20. Citizen's Coalition for Economic Justice. After revision medical law for a healthcare accreditation system, urge to organize accreditation committees and additional requirements of nongovernmental organization. 2010. Seoul: Citizen's Coalition for Economic Justice, Health Right Network, Korean Leukemia Patient Group.

21. Shin EC, Kim JY. The actual application status of healthcare accreditation system in abroad: centered Austrailia and US. J Korean Hosp Assoc. 2010. 327:48–58.

22. Cho WH, Kang HY, Lee SG, Cho HS, Shin HS, Kim KH, Kim SA, Moon YO. A study to develop medical institution evaluation systems and evaluation instruments. 2004. Seoul: Institute of Health Services Research, Yonsei University, Korean Hospital Association.