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Bellevue Hospital in New York one of first hospitals in U.S.
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First medical school opened- College of Philadelphia
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Anesthesia discovered
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Lister applied the Germ Theory of disease to surgerical infections
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First school of nursing opened
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Sterilization introduced
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Discovery of radiology
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American Hospital Association founded
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Scientific method was introduced
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Flexnor Report on quality of medical schools released
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"A Study of Hospital Efficiency" by Ernest Codman, who was an advocate of patient safety and quality
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Insulin discovered
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Penicillin discovered
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Medical College Admission Test (MCAT) was developed
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Blue Cross Health Insurance
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1930s -Henry Kaiser developed a health care plan for his employees
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Hospital Survey and Construction Act (Hill-Burton Act)
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Hospital Construction Act
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Joint Commission on Accreditation of Hospitals (JCAH)
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CPR introduced by Dr. Safar
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Academic Medical Centers grew
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Vaccination Assistance
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Nurse Training Act
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Artificial Intelligence- Eliza the chatbot
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Medicare & Medicaid established
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Utilization review
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"Evaluating the Quality of Medical Care" published by Avedis Donabedian
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Institute of Medicine
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Medicare’s Professional Standards Review Organizations (PSROs)
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Health Maintenance Organization Act
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Artificial Intelligence is applied to infection
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Hospice Care
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Endoscopy- increased turnaround time in surgery
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National Committee for Quality Assurance (NCQA)
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Evidence-based medicine
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Quality Improvement Initiative
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mortality
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The National Quality Forum (NQF)
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To Err is Human report released by IOM
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Information technology is harnessed by doctors and patients
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Hospital Inpatient Quality Reporting (IQR) program
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Surgical Care Improvement Program (SCIP) was established
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Physician Quality Reporting Initiative (PQRI)
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Tax Relief and Health Care Act of 2006 (TRHCA),
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"Never events" like surgery on wrong body part would not be paid by Medicaid/Medicare
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Patient Protection and Accountable Care Act (PPACA)
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National Quality Strategy
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Accountable Care Organizations (ACOs)
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The National Database of Nursing Quality Indicators
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Focus on cure
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Focus on prediction and prevention
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Hospitals will provide most care remotely rather than on site