Florence Nightingales principles of sanitation and data driven nursing care begin influencing hospitals and healthcare practices
Flexner report reforms medical education in the U.S., emphasizing standardization and quality of physician training
Early public health initiatives reduce infectious disease through vaccination campaigns and community health programs
Development of hospital accreditation standards by the American College of Surgeons to improve quality of care
Introduction of penicillin and antibiotics, drastically reducing mortality from infections
Rise of organized clinical research and randomized controlled trials to evaluate treatment effectiveness
Donabedian framework established to evaluate healthcare quality systematically (Burstin et al,. 2016)
Growth of medical boards and peer review programs to monitor provider quality
Release of hospital specific mortality data by the Health Care Financing Administration promotes transparency
Health Employer Data Information Set standardizes quality measurement across health plans, Nation Committee on Quality Assurance promotes benchmarking
National Quality Forum established as consensus based standard setting organization, focus on evidence based measures and performance reporting (Burstin et al., 2016)
National Quality Strategy introduced by AHRQ, focusing on the Triple Aim: better care, affordable care, and healthier communities (Burstin et al., 2016)
Expansion of electronic health records, patient reported outcomes, and value based payment models, focus on patient centered care and reducing disparities
Implementation of real time nationwide quality dashboards integrating electronic health record, patient reported outcomes, and registry data to continuously monitor and improve care, reduction of healthcare disparities as a measurable national priority
AI driven predictive analytics for population health and personalized medicine fully integrated, universal access to preventative care, national standards for equality and sustainability