The "Why" of Conditions of Participation in the Medicare Program

Cashman, J. N.; Bierman, Pearl; Myers, Beverlee A.

doi:10.2307/4593398

Cited by 2 publications

(1 citation statement)

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“…The accrediting agencies we know today in healthcare are closely linked to the history and The Joint Commission has been the leader in introducing accreditation and related practices to new markets and parts of healthcare, offering today the most extensive coverage among all nationally recognized accreditation organizations with deeming authority from the federal government (see Table 3 Congress 1965;Jost 1983;Cashman, Bierman, and Myers 1968;Kinney 1994). The hospital standardization program was openly established to advance the practice of surgery as a speciality.…”

Section: A Brief History Of Accreditation and Terminology Issuesmentioning

confidence: 99%

The Private Roots and Public Branches of Regulation-by-Information: Understanding The Legal Incorporation of Rating in Finance and Accreditation in Healthcare (1900s-1970s)

Gjata

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This dissertation lies at the intersection of economic sociology, political sociology, and organizational sociology, and examines broadly, the emergence and transformation of regulationby-information-a form of regulating producers through information products without specifying enforcement mechanisms. Existing scholarship emphasizes the effects and effectiveness of regulation-by-information above all. It neglects the processes through which regulation-by-information emerged and changed through time, and consequently, it fails to conceptualize and explain this kind of regulation. This dissertation addresses these gaps by tracing the evolution of two systems of regulation-by-information and their operators: rating and securities rating agencies in finance, and accreditation and hospital accreditation organizations in healthcare, in the United States. Using theories on the state regulation of industries and theories of institutionalization, and data on congressional records and hearings about the legal recognition of certain private rating and accreditation organizations, organizational histories and accounts, examinations of industry publications, and newspaper articles, I examine the emergence of securities rating and hospital accreditation as mainly private enterprises and their transformation into increasingly public endeavors, culminating with the legal incorporation of their sources.This study traces the history of legal incorporation to reveal the political and cultural struggles surrounding the emergence and transformation of regulation-by-information. I argue and show that the organizational identity work of rating agencies and accreditation organizations-how they presented their product and themselves-contributed to their successful institutionalization, their regulatory power, and their selection for incorporation into government rules and regulations. 3 ACKNOWLEGEMENTSThere are several beings that helped me complete this dissertation in the form I present it to you, dear reader. They gave me enough strength and confidence to find, embrace, and materialize my voice as a researcher into writing.First of all, I am deeply thankful for my advisor Elizabeth H. Gorman. Thanks to her frank, practical, meticulous, and constructive feedback and her open-minded support during most of my time as a graduate student, I was able to complete this work. This dissertation would not be possible without her guidance and encouragement. She was the best advisor for me: one that would always know how to communicate with me, energize my work, and whom I trusted fully.I must also thank my committee members: Simone Polillo for providing an example with his work for the kind of research I wanted to do and where I wanted to be within the discipline of sociology-at the intersection of comparative, historical, economic and political sociology, andAdam Slez who would always engage constructively and enthusiastically with my work.

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Section: A Brief History Of Accreditation and Terminology Issuesmentioning

confidence: 99%