In an effort to improve the health care provided to residents of Oregon, the state has enacted a number of laws mandating quality measurement and reporting.  All inpatient health care facilities must have written quality assurance procedures to evaluate and monitor the quality of patient care.1  Hospitals’ quality assurance plan must include evaluation of services related to patient care and quarterly recorded, written documentation of quality assurance activities.  Additionally, all medical and surgical services performed in the hospital must be evaluated as they relate to appropriateness of diagnosis and treatment.2  All nursing home facilities must have a quality assessment and assurance committee that annually reviews medical records, resident nutrition status, care plans, and actions taken to resolve identified problems.3  Programs of All-Inclusive Care for the Elderly (PACEs) must have a written quality assessment and performance improvement plan and a process for monitoring, collecting and evaluating data that includes an internal Quality Improvement.4

        All insurers offering managed health insurance must have a quality assessment program that allows the insurer to monitor and improve the quality of health services provided to its enrollees and must file a report with the Department of Consumer and Business Services that describes the insurer’s quality assessment activities.5