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Standard Setting by Nonfederal Agencies

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Accreditation bodies such as the Joint Commission, the National Commission on Quality Assurance, the Utilization Review Accreditation Commission, and other CMS‐deemed entities impact how quality is recognized and monitored in practice settings. They drive quality through formal policy mechanisms of setting, monitoring, and evaluating accreditation standards and recognition criteria. Although accreditation is voluntary and paid for by the institution seeking it, accreditation processes wield a great deal of power in shaping expectations of quality and safety. To ensure the reasonableness of standards and evaluation criteria, professional organizations and alliances participate in the development and revision of accreditation and recognition criteria and measures. ANA and others seek to ensure that nurses provide board representation, public comments, or advocacy efforts as checks and balances on the rigor of the accreditation standards and recognition criteria these entities use as the yardstick by which performance is evaluated.

Quality and Safety in Nursing

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