avoidable hospital admissions are among the best in europe for asthma and chronic obstructive pulmonary disease see figure moreover the day fatality rates for acute myocardial infarction and stroke are among the worst in the eu there are structures in place to support quality health care but outcomes suggest substantial room to further improve service quality and the coordination between levels of care in addition the ehif has published a selection of service quality indicators for every hospital since and quality criteria are included in strategic contracts