Quality Metrics NUR 440

  • Bellevue Hospital in New York one of first hospitals in U.S.

  • First medical school opened- College of Philadelphia

  • Anesthesia discovered

  • Lister applied the Germ Theory of disease to surgerical infections

  • First school of nursing opened

  • Sterilization introduced

  • Discovery of radiology

  • American Hospital Association founded

  • Scientific method was introduced

  • Flexnor Report on quality of medical schools released

  • "A Study of Hospital Efficiency" by Ernest Codman, who was an advocate of patient safety and quality

  • Insulin discovered

  • Penicillin discovered

  • Medical College Admission Test (MCAT) was developed

  • Blue Cross Health Insurance

  • 1930s -Henry Kaiser developed a health care plan for his employees

  • Hospital Survey and Construction Act (Hill-Burton Act)

  • Hospital Construction Act

  • Joint Commission on Accreditation of Hospitals (JCAH)

  • CPR introduced by Dr. Safar

  • Academic Medical Centers grew

  • Vaccination Assistance

  • Nurse Training Act

  • Artificial Intelligence- Eliza the chatbot

  • Medicare & Medicaid established

  • Utilization review

  • "Evaluating the Quality of Medical Care" published by Avedis Donabedian

  • Institute of Medicine

  • Medicare’s Professional Standards Review Organizations (PSROs)

  • Health Maintenance Organization Act

  • Artificial Intelligence is applied to infection

  • Hospice Care

  • Endoscopy- increased turnaround time in surgery

  • National Committee for Quality Assurance (NCQA)

  • Evidence-based medicine

  • Quality Improvement Initiative

  • mortality

  • The National Quality Forum (NQF)

  • To Err is Human report released by IOM

  • Information technology is harnessed by doctors and patients

  • Hospital Inpatient Quality Reporting (IQR) program

  • Surgical Care Improvement Program (SCIP) was established

  • Physician Quality Reporting Initiative (PQRI)

  • Tax Relief and Health Care Act of 2006 (TRHCA),

  • "Never events" like surgery on wrong body part would not be paid by Medicaid/Medicare

  • Patient Protection and Accountable Care Act (PPACA)

  • National Quality Strategy

  • Accountable Care Organizations (ACOs)

  • The National Database of Nursing Quality Indicators

  • Focus on cure

  • Focus on prediction and prevention

  • Hospitals will provide most care remotely rather than on site