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Health care accreditation is a mechanism used to ensure that organizations meet certain national standards. Hospitals and other organizations seek accreditation to demonstrate their abilities to meet national quality standards. The Joint Commission (JC), formerly known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), is the preeminent regulatory body overseeing health care quality. Its review processes are extensive, and payments to a hospital by government insurers of health care (CMS) are dependent on the organization's ability to meet JC standards with a high degree of compliance (Table 2.10). In addition, other federal, state, local, and voluntary regulatory agencies oversee the quality of specific organizational components such as pharmacy, laboratory, long‐term care, rehabilitative care, dietary, behavioral health, and fire safety. Accreditation, which signifies that the organization meets the standards for practice of these oversight agencies, influences market perception about the quality of health care that the organization provides and engenders trust and confidence in the organization.

Table 2.10 Hospital Accreditation Standards Overview

Environment of careEmergency managementHuman resourcesInfection prevention and controlInformation managementLeadership

Life safetyMedication managementMedical staffNational patient safety goalsNursingProvision of care, treatment, and services

Performance improvementRecord of care, treatment, and servicesRights and responsibilities of the individualTransplant safetyWaived testing

Source: © Joint Commission: CAMH: 2010 Comprehensive Accreditation Manual for Hospitals. Oakbrook Terrace, IL: Joint Commission, 2011, available at www.jcrinc.com/Joint-Commission-Requirements/Hospitals