This document discusses measurement for quality improvement in healthcare. It defines measurement as the systematic collection of quantifiable data about processes and outcomes over time or at a single point in time. The purpose of measurement is to identify ways to improve, track performance improvements, and focus efforts on the right areas. Measurement should involve employees and measure effectiveness, efficiency, and support for strategic initiatives. Examples of potential measures for male and female wards are provided, including outcomes, processes, balancing measures. Cause and effect diagrams and building a cascading system of measures from the hospital board level down to individual caregivers and patients is also discussed.