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By 1970 the goals of JCAH inspections were changed from making certain that medical facilities met minimum necessary levels of safe care, to ensuring that they delivered highest achievable levels of care.
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.
They have achieved accreditation with commendation from the JCAH.
Despite their variety, all of the hospitals are in a large urban/suburban setting, all have a trained and experienced librarian, all of the libraries meet MLA standards and JCAH criteria, and even the smallest among them has ready access to good resources through well organized consortia and close working relationships with larger libraries.
Both deemed necessary to be congruent with JCAH objectives-both delay care).
The initial Standards by the JCAH (now the Joint Commission on Accreditation of Healthcare Organizations, or JCAHO) required accredited hospitals to have organized medical staffs.
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.
JCAH has speeded this up by requiring that hospitals periodically assess the competence of individuals who provide patient care services.
The 1985 JCAH manual states: "Proficiency testing services utilized for each discipline of the clinical laboratory must equal or exceed the requirements of pertinent Federal, state, and local licensing and regulatory agencies with respect to variety and frequency of testing and to criteria for satisfactory performance.
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- JCA, juvenile chronic arthritis