Table 2 Potential use of reverse innovation in accreditation systems
From: Hospital accreditation: lessons from low- and middle-income countries
Innovation | Countries where used | Applicability |
|---|---|---|
Focus on entire system, not just best facilities. | Thailand, Malaysia, India, Kenya, Ghana | Any setting with variable quality |
Indicator use very focused, requirements of accrediting body, insurer and government fully harmonized | Malaysia, India | Could benefit state innovation projects in US |
Accreditation used as a “brand” for ambulatory facilities; linked to community education | KMET in Kenya | Any setting where improvement in the ambulatory setting is desirable |
“Graded” accreditation used to ensure that facilities which do not fully pass are supported in improving. | India; reported from other countries such as Brazil | Any country where not all facilities are accredited |
Surveys used to identify facility need; resources such as loans provided where appropriate | Kenya, Ghana (Pharmaccess) | Any country where capital resources are constrained |
Surveys used as teaching opportunity | Thailand, Malaysia | All accreditation settings |