Question

If a provider does not come under JCAHO aegis how do health insurers assure quality?

Answer 1

Ans) JCAHO: Quite simply, hospitals pursue accreditation because it is required in order for their organizations to receive payment from federally funded Medicare and Medicaid programs.

- The critical dimensions of quality of care and adopted the following definition: quality of care is “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”

We briefly reviewed the United States health care system and the health status of the population to provide a broader context for the recommendations made in this report.

- Several factors that affect the quality of care and promote or retard effective quality assurance, such as rising health care expenditures, geographic and financial access, changes and shifts in settings of care, integration of financing and delivery of services, cost-control and utilization management efforts, and Medicare payment systems. Quality of health care is a transcendent public policy issue.

- The availability and use of meaningful information for decision making by purchasers, providers, and patients will affect the success in balancing the forces of professionalism, regulation, market forces and competition, malpractice and risk management, and value purchasing in a manner that improves quality overall.