Describe a conceptual structure for measuring outcomes of quality in healthcare

Describe a conceptual structure for measuring outcomes of quality in healthcare found in the evidence. What risk adjustment for comparing quality outcomes and challenges might be involved? Was it difficult to find data to support your post? OR you can find a conceptual model based on the Donabedian framework which is used to evaluate healthcare quality. Then what are you evaluating? What would cause risk factors on what you are evaluating (sentinel events could be one). What high-level risk factors can be adjusted when you look at quality to have better outcomes? I need at least two reference articles in APA format within the last 8 years please