establishments that primarily engage in providing diagnostic and medical treatment to inpatients with a specific type of disease or medical condition (except services for psychiatric care or substance abuse)
-provide a NARROW range of services for specific med conditions
-ex. children's hospitals, rehab hospitals, orthopedic hospitals, cardiac hospitals, cancer (oncology) hospitals, and women's hospitals

the _______ caused a demise in many of the hospitals that were open, and what kept them to open and able to pay doctors was through ____________

-at least 60% of hospital's inpatients must require intensive rehabilitation for one or more of 13 specified conditions, such as stroke, spinal cord injury, major multiple trauma, and brain injury
-intensive rehab: provision of at least 3 hours of therapy per day

downsizing phase: from the mid 1980s onward, the main reasons for the decline in hospital capacity and utilization were a shift from inpatient to _______ care driven by changes in reimbursement and the impact of _________ care (emphasis on cost containment and utilization of resources)

this is a private undertaking designed to assure that accredited health care facilities meet basic standards.
-voluntary
-this of a hospital by Joint Commission confers deemed status