The quality orientation requires procedures to evaluate the efficiency, effectiveness, and safety of preventive, supportive, and curative interventions. There must be strong leadership so that the process is safe and sustainable.

The 2002 document on Public Health  "Public Health in the Americas"  defines “guarantee the quality assurance of personal and population-based health services” as the ninth essential function.

The resolution on  Regional Policy and Strategy for Ensuring Quality of Health Care, Including Patient Safety (CSP/ 27/16)  approved in 2007 outlines the regional actions based on 6 strategies:

-Introduce and strengthen the culture of evaluation, continuous improvement, and patient safety  among professionals.

-Identify national leaders who act proactively and perform actions related to the quality of care and patient safety.

-Involve the governmental and managerial levels, as well as the levels of execution, in quality.

-Conduct interdisciplinary work.

-Promote the active participation of professionals in management of quality.

-Include participation by the patient, family, and the community in decision-making and promotion of self-care.