This document provides an overview of the history, present, and future of healthcare quality appraisal and evaluation by organizations like CARF (Commission on Accreditation of Rehabilitation Facilities) and The Joint Commission. It discusses the establishment of CARF in 1966, its accreditation services, and its focus on enhancing safety and quality in rehabilitation. It also covers the history and mission of The Joint Commission, its accreditation standards, and its future goals.