Sheet1Highly Reliable Organization MatrixCriteria for Performance Excellence*InpatientSkilled NursingAmbulatory CarePublic HospitalsPrivate/Not for ProfitLeadershipStrategic planningCustomer and market focusMeasurement, analysis, and knowledge managementHuman resource focusExample: The staffing ratio of nurses to patients is lower in highly reliable health care organizations.Process managementBusiness/organizational performance results* Reference: Malcolm Baldrige National Quality Award (MBNQA) Sheet2 .