Comment letters to the National Commission on Commission on Fraudulent Financial Reporting, 1987 (Treadway Commission) Vol. 1

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A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]

BACKGROUND: Accreditation has become ubiquitous across the international health care landscape. Award of full accreditation status in health care is viewed, as it is in other sectors, as a valid indicator of high quality organisational performance. However, few studies have empirically demonstrated this assertion. The value of accreditation, therefore, remains uncertain, and this persists as a central legitimacy problem for accreditation providers, policymakers and researchers. The question arises as to how best to research the validity, impact and value of accreditation processes in health care. Most health care organisations participate in some sort of accreditation process and thus it is not possible to study its merits using a randomised controlled strategy. Further, tools and processes for accreditation and organisational performance are multifaceted. METHODS/DESIGN: To understand the relationship between them a multi-method research approach is required which incorporates both quantitative and qualitative data. The generic nature of accreditation standard development and inspection within different sectors enhances the extent to which the findings of in-depth study of accreditation process in one industry can be generalised to other industries. This paper presents a research design which comprises a prospective, multi-method, multi-level, multi-disciplinary approach to assess the validity, impact and value of accreditation. DISCUSSION: The accreditation program which assesses over 1,000 health services in Australia is used as an exemplar for testing this design. The paper proposes this design as a framework suitable for application to future international research into accreditation. Our aim is to stimulate debate on the role of accreditation and how to research it.Jeffrey Braithwaite, Johanna Westbrook, Marjorie Pawsey, David Greenfield, Justine Naylor, Rick Iedema, Bill Runciman, Sally Redman, Christine Jorm, Maureen Robinson, Sally Nathan and Robert Gibber

A-3J Vigilante first flight

Photograph showing an A-3J Vigilante during its first test flight at North American Aviation in Columbus, Ohio, September 1958. The Columbus Aircraft Division of Rockwell International began operations in November of 1950, when North American Aviation, the then-parent company of Rockwell International, bought out the facilities and operations of the Curtiss-Wright Plant located near Port Columbus Airport on the city’s east side. The Rockwell plant was operational on December 4, 1950. Initially, the division handled contracts left over from the Curtiss-Wright operation and manufactured spare parts for a variety of “non-current” aircraft, such as the F-51 Mustang and the B-25 Mitchell bomber. Eventually, the division expanded into an operation capable of designing, building, and testing its own aircraft and weapons systems, including the F-86 Sabre, the primary jet fighter of the United Nations' forces during the Korean War. The division also participated in various defense research pro

F-86 Sabre Jet in flight

Photograph of an F-86 Sabre Jet in flight. The Columbus Aircraft Division of Rockwell International began operations in November of 1950, when North American Aviation, the then-parent company of Rockwell International, bought out the facilities and operations of the Curtiss-Wright Plant located near Port Columbus Airport on the city’s east side. The Rockwell plant was operational on December 4, 1950. Initially, the division handled contracts left over from the Curtiss-Wright operation and manufactured spare parts for a variety of “non-current” aircraft, such as the F-51 Mustang and the B-25 Mitchell bomber. Eventually, the division expanded into an operation capable of designing, building, and testing its own aircraft and weapons systems, including the F-86 Sabre, the primary jet fighter of the United Nations' forces during the Korean War. The division also participated in various defense research projects. During the 1980s, the Columbus plant helped to produce the B-1B strategic bomber. In May of 1988, Rockwell announced that it was discontinuing operations at Columbus

F-86 Sabre ready for test flight

Photograph of an F-86 Sabre Jet on the runway at North American Aviation in Columbus, Ohio. A test pilot is in the cockpit and onlookers watch as the jet prepares for a test flight. The Columbus Aircraft Division of Rockwell International began operations in November of 1950, when North American Aviation, the then-parent company of Rockwell International, bought out the facilities and operations of the Curtiss-Wright Plant located near Port Columbus Airport on the city’s east side. The Rockwell plant was operational on December 4, 1950. Initially, the division handled contracts left over from the Curtiss-Wright operation and manufactured spare parts for a variety of “non-current” aircraft, such as the F-51 Mustang and the B-25 Mitchell bomber. Eventually, the division expanded into an operation capable of designing, building, and testing its own aircraft and weapons systems, including the F-86 Sabre, the primary jet fighter of the United Nations' forces during the Korean War. The division also participated in various defense research projects. During the 1980s, the Columbus plant helped to produce the B-1B strategic bomber. In May of 1988, Rockwell announced that it was discontinuing operations at Columbus