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The Joint Commission on Accreditation of Healthcare Organizations

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The Joint Commission on Accreditation of Healthcare Organizations, JCAHO, is a not for profit professional standard setting agency that was founded in 1951. It was formed to determine compliance with standards designed to ensure quality care to patients. The JCAHO early standard requirements reflected a minimal standard of care. Later it expected hospitals to strive for the highest quality standard of care. In the late 1980’s the JCAHO developed the indicator measurement system . These indicators focused on the outcomes of clinical care rather than standards of the hospital processes and departmental structures. In 1998 the JCAHO required hospitals to submit intra hospital outcome measures .

The JCAHO reviews healthcare facilities, policies and procedures, training, competency and formulary. It reviews the pharmacy practice, drug use and records of a health care system. The JCAHO reviews for compliance and changes in regulations. It makes recommendations and can change or upgrade its standards for hospital, pharmacies or other health systems. It conducts these reviews every 3 years and may conduct random inspections if they get a complaint. In an attempt to change the perception of it’s reviews as a 3 year event, the JCAHO also conducts random reviews to ensure that standards are being met everyday and not just during scheduled reviews. The JCAHO reviews and accredits many health care organizations, but mostly home care organizations. JCAHO expects quality and will withdraw it’s accreditation if standards are not met. Healthcare organizations accredited by the JCAHO are eligible for Medicare and Medicaid payments from the Federal and State government. JCAHO accreditation is also necessary for Graduate Medical Education reimbursement. Therefore, accreditation is necessary for hospitals and other health care organizations to survive

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