Certificate of need and the quality of cardiac surgery.

  title={Certificate of need and the quality of cardiac surgery.},
  author={Janelle Robinson and David B. Nash and Elizabeth D. Moxey and John P. O'Connor},
  journal={American journal of medical quality : the official journal of the American College of Medical Quality},
  volume={16 5},
Historically, states have used Certificate of Need (CON) programs to review proposals for new construction and expanded services in an effort to control costs and to improve the quality of and promote access to health care services. Congressional funding for CON ended in 1987. However, today, 26 states use CON to regulate cardiac surgery. There has been little evidence of the impact of CON on the quality of services. Pennsylvania is in a unique position to study the impact of CON on the quality… CONTINUE READING