By 2009, it had dropped to 3.5, which is below the OECD average and on par with Germany, Belgium and Italy (OECD, 2012a). In seeking to measure the impact of the health care system, it is important to look at its impact on areas within its influence. The OECD’s Health Care Quality Indicators project measures specific health care outcomes in areas where the health services can make a major difference to life and morbidity outcomes.