Table 1

Incremental costs audit tool—activity groups and activities

Activity groupsActivities to be costed
BoardDiscussions regarding:
  • Decision to continue with accreditation

  • Selection and approval of accreditation agency (eg, ACHS)

  • Approval of accreditation agency fees

ManagementDiscussions with the quality and safety unit regarding accreditation staffing requirements
Review of self-assessment report from ACHS
Approval of staff assigned to working groups
Quality and safety unitReviewing any changes from previous EQuIP version
Conducting education sessions to explain; (a) accreditation process to new staff; and (b) changes to the accreditation process for all staff
Engaging with senior staff/management to set up working groups as required
Setting terms of reference, monitoring progress and reviewing output for working groups
Reviewing and approving self-assessment documentation
Reviewing self-assessment report from ACHS
General staffAttending pre and postsurvey briefings
Attending meetings with accreditation surveyors during survey
Attending accreditation-related training
Working groupsReviewing the following activities:
  • Ensuring policy and compliance manual is up to date and complete

  • Completing required reports; risk assessments, incidents (patient complaints, falls, pressure injuries and other adverse events), and work health safety issues

  • Completing self-assessment forms

Accreditation coordinatorsLiaising with ACHS surveyors
Providing information/welcome packs for surveyors
Organising meetings between surveyors and management, staff and/or Board
Organising postsurvey debrief with surveyors, Quality and safety unit and management
Organising postsurvey meeting with surveyors and staff and Board members
Other costsAccreditation agency fees
Accreditation-related workshop fees
External consultancy fees
  • ACHS, Australian Council on Healthcare Standards; EQuIP Evaluation and Quality Improvement Programme.