Positioning and functioning of organisations such as HAS (Haute Autorite de Sante) in France and NICE (National Institute for Clinical Excellence) in the United Kingdom could provide inspiration. The reconsideration of HTA is especially relevant in relation to the functioning of SSI and the Pharmaceuticals and Medical Devices Institute of Turkey when it comes to decisions on quality and safety of products and services related to access to the Turkish market and reimbursement via the health insurance funds. For more than 20 years specific health-care services, often from private providers have been seeking ISO certification or accreditation by foreign accreditors in the health-care field such as the Joint Commission International, the international branch of the US Joint Commission for the Accreditation of Health-care services. The Baskent University Network is an example of a private entity that has been successful in the application of both ISO standards and JCI accreditation over a period of 20 years in what is now a network of 12 hospitals.