Delivery Systems (1990–2025)
Full Assignment Instructions:
Create a timeline in a Word document with significant dates that influenced and changed
the health care delivery systems.
Timeline requirements:
- Begin in 1990 and move forward to the most current and significant information
available.
- Include a minimum of 10 significant dates.
- Provide a detailed description for each significant date and event added to the timeline.
Be sure to include appropriate citations for each date/event and list full references on the
final page (APA style).
, Timeline (1990 — 2025)
July 26, 1990 — Americans with Disabilities Act (ADA) enacted
The ADA prohibited discrimination based on disability across public life, including
healthcare. It required healthcare providers and facilities to ensure accessibility for people
with disabilities—physical access, effective communication, and reasonable
accommodations. The ADA asserted legal protections that shaped facility design, patient
communication standards, and non-discriminatory policies in healthcare delivery (U.S.
Department of Justice, 1990).
August 21, 1996 — Health Insurance Portability and Accountability Act (HIPAA)
enacted
HIPAA introduced rules to improve portability of health insurance and established
national standards for electronic health care transactions. Critically for delivery systems,
HIPAA’s Privacy Rule (2000) and Security Rule (2003) set protections for patient health
information, influencing adoption of electronic medical records, information governance
practices, and workflows related to data sharing and care coordination (HHS, 1996).
November 1999 — IOM report 'To Err Is Human' published
The Institute of Medicine (IOM, now National Academy of Medicine) released 'To Err Is
Human,' documenting that tens of thousands of deaths occurred annually from medical
errors. The report catalyzed patient safety initiatives, quality improvement programs,
mandatory reporting in some states, and widespread adoption of safety cultures in
hospitals—changes that transformed clinical processes and delivery models (IOM, 1999).