Next generation quality, Part 2: Balanced scorecards and organizational improvement.

Part 1 of this two-part series defined a new quality paradigm called the next generation quality model. This model applies the principles of the Malcolm Baldrige Criteria for Performance Excellence to clinical processes. The model's components are clinical pathways, variance management systems, stream-lined patient documentation, and continuous improvement. Part 2 extends the next generation quality model, describes the principles and applications of integrated performance measurement systems, and explains how measurement systems are adapted to different levels of an organization to effect change.