For instance, a research study discovered that the accreditation of healthcare facilities by the Joint Commission on Accreditation of Health Care Organizations (JCAHO), an industry-dominated group, had scant connection with death rates. One reason for the limited success of these companies is that they usually focus on procedure rather than on output, looking, say, not at enhancements in patient health but at whether a company has actually followed a treatment procedure.

For instance, JCAHO and the National Committee for Quality Guarantee, the agencies mostly accountable for monitoring compliance with requirements in the medical facility and insurance sectors, are overseen mainly by the companies in those industries. But whether the agents of responsibility are reliable or not, health care innovators need to do whatever possible to try to resolve their frequently opaque demands.

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