The current state of quality in the U.S. healthcare system

Write a 3- to 4-page paper in which you:
Summarize the concepts, principles, and applications of the U.S. healthcare quality system.
Compare the U.S healthcare quality system to those of two other developed countries (e.g., Canada, France, Germany, Italy, Japan, Russia, United Kingdom, etc.).
Characterize the state of healthcare quality in the United States, including influencing factors. Comment on the extent to which healthcare quality has changed since 2010.