Quality Metrics Over the Decades

By garcia92

  • Flexner Report

    Transformed U.S. medical education standards.

  • Donabedian's Model

    Introduced the framework of structure, process and outcomes for evaluating care quality.

  • Mortality Data Publicized

    First public release of hospital-specific mortality rates by HCFA.

  • HEDIS Created.

    Health plans begin standardized evaluation via healthcare effectiveness data and information set (HEDIS), promoting consistent comparisons.

  • National Quality Forum (NQF) Founded

    Established standards for measuring and reporting health care quality nationally.

  • IOM Report: Crossing the quality chasm

    Pushed for system-wide reforms for patient-centered safe and effective care.

  • Affordable Care Act Enacted

    Included provisions for quality-based reimbursement models and value-based care.

  • National Quality Strategy Introduced

    Set six improvement priorities, including patient safety and care coordination.

  • Rise of PROs.

    Increased use of patient-reported outcomes in quality evaluations.

  • Full EHR-PRO Integration

    Future vision-seamless integration of EHRs and PROs for real-time quality feedback.

  • AI-Driven Quality Registries

    Envisioning universal registries with AI to track population health and disparities in real time.