The independent not-for-profit organization dedicated to improving the quality of healthcare was established in 1990. The NCQA's responsibilities are organized around accreditation of physicians, health plans and medical groups, as well as performance measurement, which together produce information guiding choice. Programs at the NCQA include accreditation, certification, distinction, recognition and evaluation. Its Healthcare Effectiveness Data and Information Set tool is used by the majority of health plans in the U.S. to measure performance in various areas of service. The NCQA also offered up a blueprint last fall for accountable care organizations, the new model for delivering health services touted under the healthcare reform law.