The Agency for Healthcare Research and Quality (AHRQ) has released its annual report on state quality of care, based on data from the 2008 National Healthcare Quality Report. The 2008 “State Snapshots” summarize health care quality by: (1) type of care (preventive, acute and chronic care); (2) setting of care (hospitals, ambulatory, nursing homes and home health care); and (3) clinical areas (cancer, diabetes, heart disease, maternal and child health and respiratory disease). This year the report also includes information regarding the following special focus areas: diabetes, asthma, Healthy People 2010, clinical preventive services, and health disparities. As in previous years, the 2008 report found that no state does well or poorly on all quality measures.