In 2001, the Institute of Medicine (IOM) published Crossing the Quality Chasm: A New Health System for the 21st Century that identified deficiencies and trends in the United States healthcare system. In this report, the IOM outlined the essence of quality health care as safe, effective, patient-centered, timely, efficient and equitable, paving the way to today’s health care quality programs in an effort to produce optimal care and outcomes (IOM, 2001). Kelly (2014) states that “health quality policy may be thought of as a subset within health policy… A variety of federal, state, and local government agencies and private organizations assess, monitor, and oversee the quality of healthcare delivered by health plans, facilities, integrated delivery systems, and individual practitioners” (p. 121). One such agency is the Center for Medicare and Medicaid Services (CMS). In order for an organization to receive reimbursement from CMS, it must meet certain standards set by the federal government (Kelly, 2014).…