Conditions of Participation were established because up to a third of all hospitals, especially those located in rural areas, did not seek the voluntary accreditation program offered by the Joint Commission on Accreditation of Hospitals. The Medicare program aimed to maximize healthcare access, but it was clear that existing accreditation programs could not guarantee minimum health and safety compliance. In response, Medicare put forth a set of requirements upon its establishment, which then evolved into the Conditions of Participation.
The Conditions of Participation were designed to protect patient health and safety. They ensure that anyone using a federally funded healthcare program, such as Medicaid, Medicare, or CHIPS, receives quality care from any participating organizations.
Different facilities and services, such as outpatient services, respiratory care, or surgical centers, have their own conditions of participation, ensuring that specialized functions adhere to specialized health and safety guidelines.