How and by whom is healthcare graded?

It really depends on what type of facility is providing the care. If it is a hospital, then the accrediting organization known as Joint Commission would measure or grade the care delivered. If it is a nursing facility, then the State Department of Health and Human Services would measure or grade the care delivered. Many facility follow CMS guidelines for the delivery of health care. If the care is delivered to a Medicare or Medicaid patient, the current Q.I.O. (quality improvement organization), KePro could perform the measuring or grading.