Describe how the process was improved (what was done for the patients and how effective) and/or describe the possible outcomes of the improved health care delivery process (impacts on patients health). Improvement efforts of quality of health care may address the perspectives of efficacy, availability and accessibility, responsiveness to population health needs, utilization or coverage of health services etc. After the data collection, evaluate the efforts at national, regional, local level or at hospital/clinical units. These can be specific interventions or processes aiming to improve quality of care.