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Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar Alia Ghareeb Walden University

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Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar Alia Ghareeb Walden University Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar Alia Ghareeb Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Health and Medical Administration Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral dissertation by Alia Ghareeb has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Suzanne Richins, Committee Chairperson, Health Services Faculty Dr. Sandra Bever, Committee Member, Health Services Faculty Dr. James Rohrer, University Reviewer, Health Services Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2016 Abstract Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar by Alia Fouad Ghareeb MHCM, California State University of Los Angeles, 2006 BS, Lebanese University Faculty of Science, 2002 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy College of Health Sciences Walden University February 2016 Abstract Although a modest body of literature exists on accreditation, little research was conducted on the impact of accreditation on primary healthcare organizations in the Middle East. This study assessed the changes resulting from the integration of Accreditation Canada International’s accreditation program in a primary healthcare organization in the State of Qatar. The study also investigated how accreditation helped introduce organizational changes through promoting organizational learning as well as quality improvement initiatives. Pomey’s Dimension of Change framework and questionnaire was used to measure the effect of Accreditation Canada International standards on the perceived quality performance and the progress towards organizational learning. The study explored the quality improvement initiatives resulting from the introduction of Accreditation Canada International accreditation program at the institutional level. It also aimed to identify the organizational learning resulting from application of accreditation standards across the various levels in the organization. Applying a quantitative design, a structured questionnaire was used to collect data from 500 staff. The study used T-test, Spearman’s correlation coefficient, ANOVA to analyze the collected survey data. The results of this study provided much-needed insights on the possible changes that organizations might go through concerning quality improvement and organizational learning. The results would potentially support a smooth accreditation preparation process and ultimately contribute to positive social changes at the level of the safety and wellbeing of the people accessing the health services in the community. Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar by Alia Fouad Ghareeb MHCM, California State University of Los Angeles, 2006 BS, Lebanese University Faculty of Science, 2002 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy College of Health Sciences Walden University February 2016 Dedication This dissertation is dedicated to my family and friends. A special feeling of gratitude to my loving husband, Dr. Hoss Banna, for his never ending support and encouragement and for being there for me throughout the entire doctorate program, if it were not for him, I would have never embarked on this journey; to my girls Liana and Taline for being patient and understanding when I did not have enough time for them because of my studies, and whose smiles gave me positivity and assurance; to my awesome mother and aunt whose prayers have enlightened my way all along; to my father’s spirit which has guided my path from the very start. I also dedicate this dissertation to my beautiful brother and sisters and friends who have supported me throughout the process. I will always appreciate all they have done, especially their encouragement and belief in me. Acknowledgements Firstly, I would like to express my sincere appreciation to my committee members Dr. Suzanne Richins, Dr. Sandra Bever and Dr James Rohrer for their continuous support. Their guidance helped me in all the time of research and writing of this dissertation. I am specifically thankful for their insightful comments and constructive feedback which incented me to widen my research from various perspectives. My sincere gratitude also goes to Dr. Hana Said, the director of the Quality Management Department at PHCC, who has inspired me the whole time with her deep insight, brilliant ideas and incessant motivation and encouragement. If it were not for Dr. Hana, the case study presented in this research would not have been possible, since it was her brilliant ideas and determination and endurance that made the accreditation journey at PHCC a successful one. I thank my fellow PHCC colleagues for the amazing experience and stimulating discussions, for the sleepless nights we were working together before deadlines, and for all the fun we have had in the last four years. In particular, I am very grateful to Dr. Mohamad El Zoghbi for his assistance in the research design and the statistical analysis of data. Last but not the least; I would like to thank my family: my great husband and lovely daughters for supporting me by all possible means since the very beginning of this journey. Table of Contents Table of Contents ................................................................................................................. i List of Tables ..................................................................................................................... vi List of Figures ................................................................................................................... vii Chapter 1: Introduction to the Study ....................................................................................1 Introduction ....................................................................................................................1 Background ....................................................................................................................2 Background on Primary Health Care Corporation.................................................. 3 Problem Statement .........................................................................................................5 Purpose of the Study ......................................................................................................6 Research Questions and Hypotheses .............................................................................7 Theoretical Base.............................................................................................................8 Conceptual Framework ..................................................................................................9 Nature of the Study ......................................................................................................10 Definition of Terms......................................................................................................11 Assumptions .................................................................................................................13 Limitations ...................................................................................................................14 Delimitations ................................................................................................................16 Significance of the Study .............................................................................................17 i Summary ......................................................................................................................18 Chapter 2: Literature Review .............................................................................................21 Introduction ..................................................................................................................21 Literature Search Criteria ` ..........................................................................................22 History of Accreditation in the Healthcare Field .........................................................23 Different Views on Accreditation ................................................................................25 Organizational Learning Models .................................................................................27 Organizational Culture Change in Healthcare .............................................................29 Pomey’s Dimension of Change Framework ................................................................31 First Component of Pomey’s Framework ............................................................. 32 Second Component of Pomey’s Framework ........................................................ 34 Accreditation and Trust in the Healthcare System ......................................................36
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