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Related Experiment Videos

Accrediting organizations and quality improvement.

H N Viswanathan1, J W Salmon

  • 1Department of Pharmacy Administration, University of Illinois at Chicago 60612, USA.

The American Journal of Managed Care
|February 24, 2001
PubMed
Summary

This review examines US healthcare accreditation organizations, like the Joint Commission and NCQA, and their standards. While accreditation aims for quality care, its effectiveness in ensuring high standards nationwide requires further investigation.

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Area of Science:

  • Healthcare Administration
  • Quality Improvement
  • Health Policy

Background:

  • Numerous organizations in the U.S. establish standards and accredit healthcare delivery.
  • Key agencies include JCAHO, NCQA, AMAP, AAHC/URAC, and AAAHC, alongside FACCT and AHRQ.
  • Each accrediting body possesses unique missions, processes, and standards.

Purpose of the Study:

  • To review organizations involved in U.S. healthcare accreditation and standard-setting.
  • To highlight the diversity in missions, processes, and standards among accrediting bodies.
  • To discuss the shift towards outcomes research in healthcare accreditation.

Main Methods:

  • Literature review of U.S. healthcare accreditation organizations.
  • Analysis of the roles and characteristics of major accrediting bodies.

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  • Examination of historical and emerging trends in accreditation standards.
  • Main Results:

    • Accrediting organizations vary significantly in their approach and focus.
    • A notable trend is the increasing emphasis on outcomes research over structural/process measures.
    • Accreditation is generally perceived as beneficial but has inherent limitations.

    Conclusions:

    • The suitability of specific accrediting organizations depends on the healthcare area.
    • The ultimate effectiveness of accreditation in ensuring high-quality U.S. healthcare remains an open question.
    • Further evaluation is needed to confirm if current accreditation practices guarantee nationwide high-quality care.