The accreditation decreased the facility's costs and liability related to inmate medical services, while providing a nationally recognized level of health care. The facility deals with a wide variety of health problems, including tuberculosis, hepatitis, and HIV/AIDS. The need to deal with these challenges while containing cost and limiting liability prompted the sheriff to explore accreditation of health services. Savings have resulted from a reduction in transports and a reduction of lawsuits, while the level of care has improved. NCCHC accreditation adds to the prestige of the institution and its management, increases the professional status of the health professionals providing services in the facility, and lets the community know that the institution meets nationally accepted standards. Federal and State judicial decisions provide additional incentives for accreditation. A jail must meet the majority of the 69 NCCHC standards to become accredited. The facility starts the process by requesting the standards and reviewing the facility's compliance. The facility then requests an application for accreditation, completes a self-survey questionnaire to prepare for a site survey, has a site survey, and works with NCCHC staff to achieve compliance as needed. NCCHC can be reached at 773-528-0818. Photographs