In 1990, Poland became one of the implementation sites for the Quality Assurance Project (QAP) I, II, and III. QAP provided technical assistance and conducted operations research on health care quality improvement.

This work helped to raise awareness in countries and internationally that quality improvement (QI) is an essential component of health system strengthening and that quality standards and QI capacity development are vital to the development of health care systems in even the most resource-constrained countries. QAP demonstrated that in developing country settings, the improvement collaborative approach could achieve significant results and public health impact in a short period.