the romanian government is now taking steps to develop a national action plan on amr data used in international comparisons of health care quality such as the inhospital casefatality rate for acute myocardial infarction or ischaemic stroke are not available for romania moreover the data that are collected such as rates of nosocomial infections in hospitals are not reliable the national authority for quality management in health care established in is developing a quality assurance strategy and will expand the accreditation process from hospitals to all health care providers