This project will assess the usefulness of the 10 hospital quality measures adopted by the National Voluntary Hospital Reporting Initiative (NVHRI) for measuring disparities in care and for supporting hospital programs designed to reduce racial/ethnic disparities. Focusing on six major public hospitals that treat large minority populations, the investigators will: 1) develop protocols for using the NVHRI framework to collect data on the 10 measures, preferably by uniform classifications of race and ethnicity; 2) collect and analyze the quality data, stratified by race and ethnicity, that have been reported by the six hospitals; and 3) develop recommendations for how other hospitals might use the NVHRI to report hospital quality data by race and ethnicity. Project staff will develop a series of case studies to explore the use of NVHRI for reducing disparities. http://www.gwhealthpolicy.org/chsrp/