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Table 2 Indicator assessment tool—score allocation examples

From: Development and application of an indicator assessment tool for measuring health services accreditation programs

Indicator assessment criteria

Scoring system for indicator assessment tool

Low score

High score

Research

Low level of evidence. For example, results of individual case studies

High level of evidence. For example systematic reviews, or adoption by regional or national health bodies

Accuracy

The indicator only measures a small part of the standards, or is not sufficiently or independently verified

The indicator measures whether the accreditation intervention has been implemented or the service provided in accordance with the standard

Proximity

Multiple steps or processes between the indicator measurement and accreditation standard make it difficult to link the indicator with the effects of accreditation

Close temporal or process links exist between accreditation surveys and the indicator measurement

No adverse effects

Measurement or publication of results gives incentives for gaming or misallocation of resources

Indicator measurement or publication does not give rise to unintended adverse effects or consequences

Specificity

Multiple and recent policy initiatives covering the same topic as the accreditation standard under discussion

Accreditation is the main policy implementation tool