The purpose of quality in health care is to meet and exceed the product or service expectations offered, and when the level of quality is below the expectations result in poor performance putting the patient safety on risk, and brand of the health care institution, its image, position and reputation in the industry will be severely affected. Quality in a health care organization, does not mean to have best physicians, quality implies the whole organization, Pharmacy, Laboratory, Radiology, Nurses, Medical Clerks, Housekeeping, Safety officers, Informational Technology, Management, and all allied medical professionals.  The responsibility of quality in the health care is responsibility of all staff members, and management is responsible to finding ways of how to organize and accomplish those expectations, and ensure quality and safe outcomes for patients, employees, customers, and stakeholders.  The most important objective of quality of health care is the patient safety that is defined as the “freedom from accidental or preventable injuries produced by medical care” (AHRQ 2010b). The measure of quality is fundamental for the health care organization success because now with the new way of reimbursement from private payers, and government agencies like Medicare and Medical, the reimbursement method is no longer pay-for-service; it is through evidence-based medicine method, now reimbursement is based in the quality of service provided, so health care organizations need to be aligned to the new requirements in order to be reimbursed. Aside from the billing purposes measuring the quality, diagnose deficiencies, and open opportunities of improvement, toward to best health care delivery.