To survive in the coming era, health care organizations must support t
he powerful concepts of continuous quality improvement with better int
ernal management systems that include: (1) new processes for making de
cisions from mission to clinical guidelines; (2) hoshin planning, whic
h emphasizes strong financial management and innovation to meet custom
er needs; (3) new organizations that make cross-disciplinary teams as
important as traditional clinical support services; and (4) expanded i
nformation covering several new dimensions, including enhanced analyti
c capability, and supporting both traditional organization and cross-d
isciplinary teams.