; and (II) by striking the period at the end and inserting a semicolon; (iv) in clause (iii)— (I) by striking Safety and inserting safety ; and (II) by striking the period at the end and inserting a semicolon; (v) in clause (iv)— (I) by striking Efficiency and inserting efficiency ; and (II) by striking the period at the end and inserting ; and ; and (vi) by adding at the end the following new clause: (v) equitable care; and ; and (C) by adding at the end the following new subparagraph: (C) measurements of standards for quality that include measurements of— (i) the degree to which care is furnished uniquely to patient needs; (ii) workforce safety; (iii) employee engagement; (iv) safety culture; (v) outcomes on patient quality of life; and (vi) such other matters as the Secretary considers appropriate. ; (3) in paragraph (4), by striking and the Centers for Medicare & Medicaid Services and inserting the Centers for Medicare & Medicaid Services, and the Indian Health Service ; and (4) by striking paragraph (5) and inserting the following new paragraphs: (5) When collecting, considering, and applying data related to patient care for purposes of establishing standards for quality under paragraph (1), the Secretary shall ensure no metric is being over or under analyzed. (6) In establishing standards for quality under paragraph (1), the Secretary shall— (A) utilize the most current practices in extracting and analyzing relevant data; (B) utilize all relevant data available to the Secretary; (C) ensure the most efficient use of time and resources related to the use of data scientists employed by the Department