| 1900s |
Care plans developed by nurse educators teaching tool; used by working student nurses. |
| Post WW II |
Baccalaureate (BSN) education in university settings recommended for RNs. Care plan development and care planning defined as core competencies of BSN prepared RNs. |
| 1950s |
The structure of the care plan document was defined by Dr. Ida Orlando. |
| Post WW II–1960s |
Due to persistent nursing shortages, hospitals encouraged development of non-BSN prepared nurses: nursing assistants, licensed vocational/practical nurses, associate degree, and diploma nurses. |
| 1965 |
Care plan document included as a Medicare Condition of Participation (COP) participation in federal Medicare and Medicaid SNF programs. |
| 1966 |
The Joint Commission on Accreditation of Hospital Organizations (JCAHO) Long Term Care Accreditation Program was initiated. |
| 1969 |
The nursing care plan document became a JCAHO accreditation standard. |
| 1987 |
The Omnibus Budget Reconciliation Act (OBRA) of 1987 mandated replacement of nursing care plans with interdisciplinary care plans (ICPs). |
| 1991 |
The ICP was renamed as the comprehensive care plan (CCP). |
| 2013 |
The Joint Commission replaced the Long Term Care Accreditation program with the Nursing Care Center (NCC) Accreditation program. This was done in response to changes in the Medicare and Medicaid reimbursement system and the role of SNFs in the post-acute care continuum. |
