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In addition , a systematic investigation of beach water quality along the coast of Southern California indicated the presence of human viruses at many sites , especially near the mouths of rivers , creeks and wetlands . ( I've encountered members of the journalistic elite who flatly refuse to believe that France ranks much better on most measures of health care quality than the United States . " It is my belief in the opportunity that the changing nature of our industry offers for evidence-based practice , for information that guides choice , and for critical review and improvement of health care quality based on research that motivated me to accept Secretary Shalala 's offer to work with her . An Air Quality Advisory will be issued when air has already reached the unhealthy stage based on DNR air quality monitoring data . By consolidating information on quality from a number of sources , the National Healthcare Quality Report ( NHQR ) provides a comprehensive picture of health care quality in the United States . Barnard 's recruitment poster was chosen from thousands of entries and judged based on print production quality , effective use of paper stock , typography , color , binding , function and creativity . Using outcomes and staffing as measures , merges data from four powerful data sets to examine the effect of Medicaid reimbursement rates on nursing home quality in the context of certificate-of-need regulations and construction moratorium policies . Our two most important measures ( Clinical Practice Guidelines Index and Prevention Index II ) of health care quality focus on the degree to which we follow nationally recognized guidelines and standards of care that the medical literature has proven to be directly linked to improved health outcomes for patients . Mr. Chairman , thank you for giving me the opportunity to address the Subcommittee on the very timely and important issue of health care quality .