title: As it was in the beginning.
abstract: A brief account of the obstacles faced during the introduction of hospital accreditation in Australia is provided, with some insight into the politics of change in health care. Some observations are made concerning critical elements of the accreditation program and the implications for the future of the Australian Council on Healthcare Standards.
authors.affiliation: Qual-med Pty Ltd., Connell's Point, NSW, Australia.
authors.forename: L L
authors.initials: LL
authors.lastname: Wilson
mesh_terms: D000068:Accreditation / Q000458:organization & administration / Q000639:trends*; D005544:Forecasting; D006291:Health Policy / Q000639:trends; D006302:Health Services Research; D006761:Hospitals / Q000592:standards*; D009517:New South Wales; D009936:Organizational Innovation; D016730:Program Development; D011785:Quality Assurance, Health Care / Q000458:organization & administration / Q000639:trends*