Select a specific historical event described in the chapter and demonstrate how this event has shaped current performance improvement or quality improvement or quality initiatives in the modern era. Remember for something to be historical, it has to have happened some time ago in order to see its influence.

historical events:

Mid 1700sPennsylvania Hospital becomes the model for the organization and development of hospitals

1760New York State begins the practice of medical licensure

1771New Jersey begins the practice of medical licensure

1837Massachusetts General Hospital sets limitations on clinical practice in the first granting of clinical privileges

1853Massachusetts General establishes the first disease and procedure index by classifying patient disposition

Mid-1800sMedical licensure is deemed undemocratic and is stopped

1872New England Hospital for Women and Children organizes a general training school for nurses.

1874AMA encourages the creation of independent state licensing boards

1903North Carolina passes the first nurse registration bill in the US

1910Flexner Report indicates unacceptable variation in medical school curricula

1917ACS establishes the Hospital Standardization program

1920Most medical colleges meet rigorous academic standards and are approved by the Association of American Medical Colleges

2001Ambulatory payment classification system is initiated

2002HCFA becomes the Center of Medicare and Medicaid Services (CMS)

2003JCAHO implements the National Patient Safety Goals

2005JCAHO begins unannounced and tracer methodology surveys