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ACHC is the only national health care accrediting organization started at the grass-roots level by a few home care providers endeavoring to create a viable option of accreditation sensitive to the needs of small providers. The model was to "ensure a voice for providers". The inception began in 1985 in Raleigh, NC through the efforts of members of the state home care association and a few representatives from four divisions of state government. Incorporation was accomplished in August of 1986, with the first accredited organization being awarded a certificate in January of 1987. The company began offering services nationally in 1996. The founders' design was based upon the following: Standards that would be patient care focused, relevant, realistic and written in easily understood language A self-assessment process that would help applicants identify and organize evidence of compliance Educational and consultative site-visits Customer services with a user-friendly approach This philosophy has not changed in twenty years of service and ACHC is firmly committed to requiring what is right and best for the patient. In past years, ACHC has endeavored to respond to unmet needs in the industry. It was the first, with help from industry experts, to develop accrediting programs for the niche market areas listed below: Specialty Pharmacy Women's Post-Breast Surgery Fitter Services Respiratory Nebulizer Medication Programs Medical Supply Provider Services Rehabilitation Technology Supplier Services ACHC believes the entire healthcare industry is undergoing major transformation and is proactive in learning new quality principles. Because of this, ACHC took the lead by becoming the first health care accrediting organization to achieve the international distinction of certification to ISO 9001:2000. It has also taken the lead to begin developing a first ever hybrid of accreditation with ISO requirements. It is our intent to inspire providers and/or improve their continuous quality improvement activities.