As a healthcare professional, I'm concerned about an organization as powerful as the JCAHO requiring that a hospital use its monitoring system and then charging them for the privilege of meeting that requirement. The expenses incurred from participation could cause many rural facilities to either opt out of JCAHO accreditation or cause serious trouble for their bottom line.
As a potential healthcare customer, I'm also concerned about the added cost to the customer when the JCAHO's costs are distributed among charges. At a time when the national concern is decreasing healthcare costs, the JCAHO's self-perpetuating posture seems obscene, to say the least.
Its contention seems to be that it has the only way to establish a viable data base for quality measurement. The multi-hospital corporation for which I work has a plan in place throughout the system. We will be able to compare apples to apples for realistic goal-setting as well as efficient data management.
I'd prefer not to have my name printed with this letter. My hospital, as is the case with many others, is subject to surprise visits from the JCAHO, and I wouldn't want to prejudice the organization against my facility.
NAME WITHHELD BY REQUEST