there are also other healthcare accreditation organizations in the u.s. unrelated to the joint commission. these include accreditation commission for health care, inc. (achc), the american osteopathic association (aoa), the commission on accreditation of rehabilitation facilities(carf), the community health accreditation program (chap), the "exemplary provider program" of the compliance team, the healthcare facilities accreditation program (hfap),the [http://www.ncchc.org/health-service-accreditation national commission on correctional health care, utilization review accreditation commission (urac), the national dialysis accreditation commission and the healthcare quality association on accreditation (hqaa) who are recognised in the state of ohio.