Quality Metrics Through the Decades By bericksonrn Period: 1850 to 2040 Quality Metrics Through the Decades 1900 Early hospital standardization efforts begin. 1910 Flexner Report leads to medical education reforms. 1950 Introduction of accreditation programs for hospitals. 1960 Medicare and Medicaid established, increasing focus on healthcare quality. 1980 Development of quality assurance programs in hospitals. 1990 Institute of Medicine publishes To Err is Human, highlighting patient safety concerns. 2000 National Quality Strategy introduced to improve healthcare outcomes. 2010 Expansion of electronic health records and data-driven quality metrics. 2030 Potential advancements in AI-driven healthcare quality monitoring and personalized medicine.