General practice accreditation – does time spent on-site matter?
Michael Jones A * , David McNaughton A and Paul Mara BA
B
Abstract
Accreditation to the Royal Australian College of General Practitioners Standards for general practices was developed with the intent of giving assurance to the public as to the safety and quality of general practice. The standards have undergone several iterative changes but have had little empirical validation since the original entry standards.
To compare the rate of indicator non-conformity between a full-day survey visit conducted under the 5th edition standards against the half-day visit conducted under the 4th edition standards.
More non-conformities were identified with the 5th edition standards (full-day visit) with a median 86% met (IQR: 14; n = 926) compared with the 4th edition standards (half-day visit) with a median 95% met (IQR: 7; n = 1687; P < 0.0001; bootstrapped t-test).
The difference in conformity between editions does not appear to relate to different requirements in the two standards editions. The key variable affecting the different outcomes between the edition assessments was time spent on-site by surveyors during a survey visit.
Keywords: accreditation, audit and review, clinical services, general practice, health policy, health services management, performance and evaluation, quality and safety.
References
2 RACGP. Standards for general practices, 5th edn, Frequently asked questions. 2020. Available at https://www.racgp.org.au/FSDEDEV/media/documents/Running%20a%20practice/Practice%20standards/5th%20edition/FAQs-RACGP-Standards-for-general-practices-5th-ed.pdf
4 Khoury J, Krejany CJ, Versteeg RW, et al. A process for developing standards to promote quality in general practice. Fam Pract 2019; 36(2): 166-171.
| Crossref | Google Scholar | PubMed |
5 Australian Commission on Safety and Quality in Healthcare. Policy - Approval under the National General Practice Accreditation (NGPA) Scheme to conduct assessments. 2022. Available at https://www.safetyandquality.gov.au/publications‐and‐resources/resource‐library/policy‐approval‐under‐national‐general‐practice‐accreditation‐ngpascheme‐conduct‐assessments
6 RACGP. Changes to the RACGP Standards for general practices, 5th edn. 2021. Available at https://www.racgp.org.au/FSDEDEV/media/documents/Running%20a%20practice/Practice%20standards/5th%20edition/Changes-to-the-RACGP-Standards-5th-Edition.pdf
7 National Health and Medical Research Council. National Statement on Ethical Conduct in Human Research (updated). 2018. Available at https://www.nhmrc.gov.au/about-us/publications/national-statement-ethical-conduct-human-research-2007-updated-2018
8 MP Consulting. Review of general practice accreditation arragements. 2021. Available at https://www.mpconsulting.com.au/consultation-open-on-the-review-of-the-general-practice-accreditation-arrangements/2021
