Commission on Accreditation of Hospitals (
JCAH) for failing to discover
Standards for performance measurement and improvement of DSC certification programs focus on four key areas: (1) creating an organized, comprehensive approach to performance improvement; (2) using comparative data to evaluate program processes and patient outcomes; (3) evaluating participants' perception of care quality; and (4) maintaining data quality and integrity (
JCAH, 2007).
However, by this point, the numbers were already in decline due to the rise of organizations like the National Committee for Quality Assurance (NCQA) and the
JCAH organizations, which recaptured the gold standard status from Federal qualification and are discussed later in more detail.
The MEDSCHOOL and JCAHACCRD affiliation dummy variables also show strong negative effects indicating that medical school affiliation and
JCAH accreditation result in smaller hospital reserve margins.
As an example, the Medical Library Association (MLA) developed the "
JCAH Guide to Professional Library Services for Surveyors" (1980).
Psychology and
JCAH: Reflections on a decade of struggle.
(Both deemed necessary to be congruent with
JCAH objectives-both delay care).
These concepts matured to create the Joint Commission on Accreditation of Hospitals (
JCAH) in 1951.
This emphasis in the
JCAH manual prompted our 650-bed hospital to form an ancillary services quality assurance committee.
Today, the
JCAH is focusing accreditation as well as its quality assurance approach on outcome alone.
Forced upon an unprepared profession in a cultural climate that applauded the discomfiture of all established institutions, medical audit failed to get the professional support it needed, failed in its objectives, and was discarded in 1980 by the PSROs and the
JCAH. In addition to its cultural inadequacies, there were structural flaws [5].
JCAH has speeded this up by requiring that hospitals periodically assess the competence of individuals who provide patient care services.