JACHO is governed by a 32 member board of commissioners that has physicians, administers, nurses, consumer advocate and educators on their board. JACHO accredits hospitals, home care, nursing care centers, ambulatory care and laboratory services. While providing certification for palliative care, total hip and total knee replacements, behavioral health home, disease specific care, health care staffing services and primary care medical home certification. There are benefits in being accredited by JACHO for instance strength patient safety programs within health care organization. Patient safety is the bases of JACHO standards and initiatives. By achieving accreditation is sends a message to the community how the organization puts pride in the