Q4.2 To what Extent do You Agree or Disagree with the Following Statements?	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Supporting processes were identified and defined.	1	2	3	4	5
The organization regularly updated their policies and protocols.	1	2	3	4	5
Processes and protocols were regularly evaluated.	1	2	3	4	5
The organization had a formal process to continuously revise the QMS.	1	2	3	4	5
The organization considered customer needs in process improvement activities.	1	2	3	4	5
The organization regularly evaluated the QMS function (i.e., internal audits).	1	2	3	4	5
Different roles collaborated to assess and improve the results of care delivery.	1	2	3	4	5
Performance indicators were compared with other healthcare organizations to identify opportunities for improvement.	1	2	3	4	5
Patients were periodically requested to give their opinions on the care provided.	1	2	3	4	5
A periodical evaluation of complaints was used to implement improvements.	1	2	3	4	5
The organization pursued long-term organizational goals and policies.	1	2	3	4	5
The organization integrated quality in the strategic plan.	1	2	3	4	5
Policies and strategies were developed according to current and future needs.	1	2	3	4	5
Facility layouts and structure were designed to enhance patient experience.	1	2	3	4	5