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Government Report Blasts JCAHO's Hospital Oversight Record

By ALM Staff | Law Journal Newsletters |
August 31, 2004

The federal Government Accountability Office (GAO – formerly, General Accounting Office) has for several years been examining the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) to determine 1) the extent to which its pre-2004 hospital accreditation process identified hospitals not complying with Medicare requirements; 2) the potential of JCAHO's new (post-2004) process for improving the detection of deficiencies in Medicare requirements; and 3) the effectiveness of the Centers for Medicare and Medicaid Services' (CMS) oversight of JCAHO's hospital accreditation program. A report detailing the findings of that study, “Medicare: CMS Needs Additional Authority to Adequately Oversee Patient Safety in Hospitals,” GAO-04-850, published July 20, levels some serious charges against JCAHO.

JCAHO Accreditation

JCAHO accredits most U.S. hospitals through periodic inspections, and hospitals are considered in compliance with Medicare participation requirements if they meet JCAHO standards. The GAO found in its study, however, that JCAHO's pre-2004 hospital accreditation process failed to identify most of the hospitals that state survey agencies — in separate surveys — found to have deficiencies in Medicare requirements.

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