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Navigating healthcare organizations with conflicting missions and roles of accreditors can be a difficult feat when there is a disconnect between regulatory authorities (Wickersham & Basey, 2016). Multiple accrediting agencies appear to impede the effectiveness of quality assurance practices (Latham, 2015; Wickersham et al, 2016). Each accrediting agency appears to have different priorities when it comes to accreditation as stated in their missions. The Joint Commission (TJC) strives to Continuously improve health care for the public (TJC, 2020, para. 1) while the Center for Medicare and Medicaid Services (CMS, 2020) Ensure the voices and needs of the populations (CMS, 2020, para. 1). The Center in Improvement in Healthcare Quality (CIQH) takes an entirely different stance with the focus on its stakeholders in accelerating the transformation of business processes (CIQH, 2020, para. 2). While evidence shows there is discord between regulatory agencies Wickersham et al, 2016), there is also evidence showing the importance of accreditation within healthcare organizations (Jha, 2018).


CMS (2020). Mission, vision & our work. Retrieved from:

Jha, A. K (2018). Accreditation, quality, and making hospital care better. Journal of the American Medical Association, 320(23), 2410-2411. doi:10.1001/jama.2018.18810. Retrieved from:

Latham, S. R. (2015). Professionalization of clinical ethics consultation: Defining (down) the code. American Journal of Bioethics, 15(5), 54-56. Retrieved from

The Joint Commission. (2020). About us. Retrieved from:

Wickersham, M. E., & Basey, S. (2016). Is accreditation sufficient? A case study and argument for transparency when government regulatory authority is delegated. Journal of Health &


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