This decision to maintain accredited status with one particular source is rarely questioned, much less examined from a strategic perspective. But perhaps it is time for hospital leaders to evaluate the decision to pursue accreditation and view it as a key element of their hospitals’ strategies. This whitepaper explores some of the accreditation options available to hospitals— including TJC, HFAP, DNV GL, and CIHQ—paying close attention to the philosophies of different accrediting bodies, as well as the implications, costs, and benefits associated with them.