"In 1986, the Joint Commission on Accreditation of Healthcare Organizations JCAHO created the wholly-owned, not-for-profit subsidiary Quality Healthcare Resources (QHR), whose sole service line was the provision of domestic technical assistance. In 1994, The Joint Commission and QHR formed Joint Commission International (JCI) to provide educational and technical assistance services to international clients. These services also included providing assistance to Ministries of Health for establishing national accrediting organizations and quality assessment services, as well as developing national standards and helping individual organizations improve quality.