The document discusses the need for universal standards in healthcare to improve quality, reduce costs, and enable comparisons across providers. It notes that while leadership is aligned with the objectives, management and governance structures are not fully in place. Standards are currently missing, particularly for measurements, processes, and auditing. The recommendation is that standard definitions be adopted for measurements, processes, and auditing similar to ISO quality standards in order to enable comparisons, allow best practices to spread, and support continuous improvement across the industry.