OBJECTIVES: To study assessment and control  the quality and the safety of hospitals in Mongolia. METHODS: The research has been conducted by cross-sectional study by collecting information according to the quantitative and qualitative method. RESULTS: In order to increase the quality and safety at the primary level hospitals the activity of special supporting (80.6%) and quality team control (66.7%) has been implemented, though, insufficient financing (33.3%) and professionals in quality control (19.4%) as well as special supporting activity has not been implemented (91.7%).

The special supporting activity (87.0%) has been implemented (p<0.05) in the secondary level hospitals to increase the quality and safety, though, financing is insufficient (39.1%).

The quality is conceptual idea, even though, this is a value that always could be felt and existed. The supporting activity (87.0%) and quality team (68.4%) are implemented (p<0.05) to develop the quality in the tertiary level hospitals, however, other activities that develop quality are not implemented.

The participants in the study answered about the challenging issues are high at all hospital levels, such as long queue to receive health service (54.5%-76.5%), overload in the hospital (67.6%-81.8%) and referral between hospitals (45.5% -72.2%) as well as hospital professionals are susceptible to illness  (31.3%-52.2%).   CONCLUSIONS: Policy on quality and other related strategic documents are established 60-70% in the hospitals. Determination of health care and “determination of specialized health care standard through the diagnosis of the care” are insufficient at all level.