Joint Commission on Accredidation of Healthcare Organizations

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Accreditation is a recognized seal of approval for many institutions in the United States. It is needed by the hospitals to become providers in the Medicare program. In order to receive payment from the Centers for Medicare and Medicaid Services (CMS), hospitals are required to meet a set of minimum requirements called conditions of participation. There are three organizations that can accredit hospitals based on the participation requirements– the Joint Commission, the American Osteopathic Association (AOA), or the state certification agencies [1]. More than 80% hospitals in the country voluntarily use the Joint Commission for accreditation purposes.

Majority of US hospitals use Joint Commission because it has deemed status from CMS
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As a result, hospitals with overall poor quality standards were able to pass inspections by fixing the specific measures surveyed. In 2006, the Joint Commission switched the inspection system to include surprise reviews. Since this change, the average number of deficiencies per hospitals increased to seven from three. Also, the percentage of hospitals with conditional accreditation has risen to 2.8 percent from 1 percent. The new process has made hospitals more alert and they are actively taking steps in order to maintain accreditation [3].

Even though the Joint Commission is an independent institution, it has close ties to the industry is oversees. In order to remove the impartiality, Medicare has stressed a more collegial approach in which private groups such as the Joint Commission and some state regulators work together with the hospitals and other groups that they oversee [4]. Additionally, the Joint Commission has continued to refine its performance measurement and quality improvement programs. As a result, initiatives such as ORYX have been started. Hospitals collect data for measurement sets selected from the nationally standardized core measurement sets, which include AMI, heart failure, pneumonia, and pregnancy. The National Patient Safety Goal measures are designed to help avoid problems such as

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