Pub Date : 2007-01-16DOI: 10.1108/09544780710720835
D. Bryde, Lynne Robinson
Purpose – The purpose of the paper is to explore the influence of a total quality management (TQM) programme on the level of focus in project management practices.Design/methodology/approach – Prior literature was used to develop a construct indicating the degree of focus on customers, time/cost/quality (iron/golden triangle) and other stakeholders. A questionnaire was mailed to a random selection of UK organizations to obtain data on the degree of focus and on whether a TQM programme existed.Findings – The results from an analysis of completed questionnaires show that those in organizations with a TQM programme in place are more customer‐focused in their project management practices than those in organizations with no TQM programme. No such relationship was found between the level of iron/golden triangle and other stakeholder focus and a TQM programme.Research limitations/implications – Given the exploratory nature of the research reported in this paper there is the opportunity for further work on larger...
{"title":"The relationship between total quality management and the focus of project management practices","authors":"D. Bryde, Lynne Robinson","doi":"10.1108/09544780710720835","DOIUrl":"https://doi.org/10.1108/09544780710720835","url":null,"abstract":"Purpose – The purpose of the paper is to explore the influence of a total quality management (TQM) programme on the level of focus in project management practices.Design/methodology/approach – Prior literature was used to develop a construct indicating the degree of focus on customers, time/cost/quality (iron/golden triangle) and other stakeholders. A questionnaire was mailed to a random selection of UK organizations to obtain data on the degree of focus and on whether a TQM programme existed.Findings – The results from an analysis of completed questionnaires show that those in organizations with a TQM programme in place are more customer‐focused in their project management practices than those in organizations with no TQM programme. No such relationship was found between the level of iron/golden triangle and other stakeholder focus and a TQM programme.Research limitations/implications – Given the exploratory nature of the research reported in this paper there is the opportunity for further work on larger...","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127378301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-01-16DOI: 10.1108/09544780710720844
F. Vouzas, Alexandros G. Psychogios
Purpose – The aim of the paper is to analyze the rationale and the development of a measure that can be used in assessing managerial awareness and understanding of the concept of total quality management (TQM) within organizations.Design/methodology/approach – A total of nine “soft” concepts of TQM were identified among the leading literature in quality management. The awareness of each one of these items was investigated among nearly 400 managers. The quantitative evidence was further analyzed by factor analysis and reliability tests.Findings – The statistical analysis provided a distinctive and consistent, statistical measurement of the “soft” side of TQM. This measure consists of three items: continuous improvement and training, total employee empowerment and involvement and quality driven culture, which represent the whole concept of TQM approach.Research limitations/implications – The separate measurement of the “soft” side of TQM can result in a loss of information. It can be argued, however, that t...
{"title":"Assessing managers' awareness of TQM","authors":"F. Vouzas, Alexandros G. Psychogios","doi":"10.1108/09544780710720844","DOIUrl":"https://doi.org/10.1108/09544780710720844","url":null,"abstract":"Purpose – The aim of the paper is to analyze the rationale and the development of a measure that can be used in assessing managerial awareness and understanding of the concept of total quality management (TQM) within organizations.Design/methodology/approach – A total of nine “soft” concepts of TQM were identified among the leading literature in quality management. The awareness of each one of these items was investigated among nearly 400 managers. The quantitative evidence was further analyzed by factor analysis and reliability tests.Findings – The statistical analysis provided a distinctive and consistent, statistical measurement of the “soft” side of TQM. This measure consists of three items: continuous improvement and training, total employee empowerment and involvement and quality driven culture, which represent the whole concept of TQM approach.Research limitations/implications – The separate measurement of the “soft” side of TQM can result in a loss of information. It can be argued, however, that t...","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126445039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-11-01DOI: 10.1108/09544780610707084
R. Natarajan
Purpose – The purpose of this paper is to analyze the opportunities and challenges in the healthcare sector for learning and transferring from other sectors the concepts, best practices, and tools for improving quality, safety, and productivity. Design/methodology/approach – In this paper, the various approaches for improving quality, safety, and productivity are considered. How these approaches are being used in healthcare are analyzed. The obstacles to their successful implementation in healthcare are discussed. Findings – The paper finds that there are many approaches, best practices, tools, and technologies for improving quality and safety – which have proved their worth in other industries – that are relevant for the healthcare sector. There are some characteristics of the healthcare industry that distinguish it from other industries. Although the managerial processes in the healthcare industry are similar to those of other industries, the prevalent norms, culture, practices, and the regulatory frame...
{"title":"Transferring best practices to healthcare: opportunities and challenges","authors":"R. Natarajan","doi":"10.1108/09544780610707084","DOIUrl":"https://doi.org/10.1108/09544780610707084","url":null,"abstract":"Purpose – The purpose of this paper is to analyze the opportunities and challenges in the healthcare sector for learning and transferring from other sectors the concepts, best practices, and tools for improving quality, safety, and productivity. Design/methodology/approach – In this paper, the various approaches for improving quality, safety, and productivity are considered. How these approaches are being used in healthcare are analyzed. The obstacles to their successful implementation in healthcare are discussed. Findings – The paper finds that there are many approaches, best practices, tools, and technologies for improving quality and safety – which have proved their worth in other industries – that are relevant for the healthcare sector. There are some characteristics of the healthcare industry that distinguish it from other industries. Although the managerial processes in the healthcare industry are similar to those of other industries, the prevalent norms, culture, practices, and the regulatory frame...","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124385174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-11-01DOI: 10.1108/09544780610707129
Phil Joyce, Rosamund Green, G. Winch
Purpose – The core theme of this paper is that, to provide the best kind of process systems to support a “quality” healthcare provider, it is essential to “engineer‐in” quality as early as possible – effectively at the specification and design phase. It extends to the healthcare context a novel approach, which provides a transparent model of how an envisioned structure delivers services and fulfils stakeholders' needs. Design/methodology/approach – In the paper a new construct, developed by the authors, is described and then extended to the healthcare sector. The underpinning theories of the new construct are discussed and examples for a health care service are presented. Findings – The paper finds that there is a full literature on quality and TQM, but relatively little offers practical tools for supporting design and implementation processes that enhance the likelihood of achieving quality operations. The presentation and discussion of the construct presented argue that the approach presented here can achieve this aim. Practical implications – In the paper, as with many ventures, organisations charged with healthcare delivery are presently facing the dual challenges of seeking to satisfy widely extended stakeholder groups and implement complex ICT systems to support e‐fulfilment. To ensure that quality is “engineered‐in”, a holistic, integrated and quality approach is required, and Total Quality Management (TQM) principles are the obvious foundations for this. Originality/value – The paper shows that electronically delivered information and funds transaction systems do offer healthcare organisations great potential, but many large integrated ICT systems have notoriously disappointed the stakeholder health care service. An integrative view of the delivery system design, based on the literature from strategic management, business process design, e‐business design, and TQM, has yielded a unique construct, which integrates these views in a transparent model readily accessible to the various domain experts. The specific role of this in healthcare fulfilment system design applications is demonstrated.
{"title":"A new construct for visualising and designing e‐fulfilment systems for quality healthcare delivery","authors":"Phil Joyce, Rosamund Green, G. Winch","doi":"10.1108/09544780610707129","DOIUrl":"https://doi.org/10.1108/09544780610707129","url":null,"abstract":"Purpose – The core theme of this paper is that, to provide the best kind of process systems to support a “quality” healthcare provider, it is essential to “engineer‐in” quality as early as possible – effectively at the specification and design phase. It extends to the healthcare context a novel approach, which provides a transparent model of how an envisioned structure delivers services and fulfils stakeholders' needs. Design/methodology/approach – In the paper a new construct, developed by the authors, is described and then extended to the healthcare sector. The underpinning theories of the new construct are discussed and examples for a health care service are presented. Findings – The paper finds that there is a full literature on quality and TQM, but relatively little offers practical tools for supporting design and implementation processes that enhance the likelihood of achieving quality operations. The presentation and discussion of the construct presented argue that the approach presented here can achieve this aim. Practical implications – In the paper, as with many ventures, organisations charged with healthcare delivery are presently facing the dual challenges of seeking to satisfy widely extended stakeholder groups and implement complex ICT systems to support e‐fulfilment. To ensure that quality is “engineered‐in”, a holistic, integrated and quality approach is required, and Total Quality Management (TQM) principles are the obvious foundations for this. Originality/value – The paper shows that electronically delivered information and funds transaction systems do offer healthcare organisations great potential, but many large integrated ICT systems have notoriously disappointed the stakeholder health care service. An integrative view of the delivery system design, based on the literature from strategic management, business process design, e‐business design, and TQM, has yielded a unique construct, which integrates these views in a transparent model readily accessible to the various domain experts. The specific role of this in healthcare fulfilment system design applications is demonstrated.","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120936023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-11-01DOI: 10.1108/09544780610707101
A. M. Rad
Purpose – The purpose of the paper is to determine the impact of cultural values on the success of TQM implementation in Isfahan University Hospitals (IUHs), Iran, 2004.Design/methodology/approach – In this paper survey questionnaires were used to elicit responses from hospital managers and employees. Data collected included the characteristics of organizational culture in IUHs and the degree of TQM success and its implementation problems in these hospitals.Findings – The paper finds that TQM success in IUHs was medium. Implementation of TQM was very low, low, medium and highly successful respectively in 16.7, 16.7, 58.3 and 8.3 percent of hospitals. TQM had the most effect on process management, focus on customers and leadership and management and less effect on focus on suppliers, performance results, strategic planning and focus on material resources. Human resource problems, performance appraisal and strategic problems were the most important obstacles to TQM success respectively. A total of 75 and 25...
{"title":"The impact of organizational culture on the successful implementation of total quality management","authors":"A. M. Rad","doi":"10.1108/09544780610707101","DOIUrl":"https://doi.org/10.1108/09544780610707101","url":null,"abstract":"Purpose – The purpose of the paper is to determine the impact of cultural values on the success of TQM implementation in Isfahan University Hospitals (IUHs), Iran, 2004.Design/methodology/approach – In this paper survey questionnaires were used to elicit responses from hospital managers and employees. Data collected included the characteristics of organizational culture in IUHs and the degree of TQM success and its implementation problems in these hospitals.Findings – The paper finds that TQM success in IUHs was medium. Implementation of TQM was very low, low, medium and highly successful respectively in 16.7, 16.7, 58.3 and 8.3 percent of hospitals. TQM had the most effect on process management, focus on customers and leadership and management and less effect on focus on suppliers, performance results, strategic planning and focus on material resources. Human resource problems, performance appraisal and strategic problems were the most important obstacles to TQM success respectively. A total of 75 and 25...","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123299882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-11-01DOI: 10.1108/09544780610707110
P. Miguel
Purpose – As the importance of health care is growing worldwide and it has undergone a significant change, this paper aims to report a case study in a hospital complex that implemented an excellence model framework.Design/methodology/approach – Reported in this paper is a case research approach in a hospital in Brazil. Data were gathered through semi‐structured interviews, direct field observation and archival data records. Then, the aggregation of results was done a posteriori to construct the case study.Findings – The empirical evidence in the paper has shown that the introduction of the quality management framework based on a national quality award enhanced quality awareness and improved service quality and organizational performance. In addition, the use of the framework at the hospital supports organization leadership in the journey towards quality excellence.Research limitations/implications – The paper is limited to a single case study. Replications among other samples are needed to validate curren...
{"title":"Quality management through a national quality award framework","authors":"P. Miguel","doi":"10.1108/09544780610707110","DOIUrl":"https://doi.org/10.1108/09544780610707110","url":null,"abstract":"Purpose – As the importance of health care is growing worldwide and it has undergone a significant change, this paper aims to report a case study in a hospital complex that implemented an excellence model framework.Design/methodology/approach – Reported in this paper is a case research approach in a hospital in Brazil. Data were gathered through semi‐structured interviews, direct field observation and archival data records. Then, the aggregation of results was done a posteriori to construct the case study.Findings – The empirical evidence in the paper has shown that the introduction of the quality management framework based on a national quality award enhanced quality awareness and improved service quality and organizational performance. In addition, the use of the framework at the hospital supports organization leadership in the journey towards quality excellence.Research limitations/implications – The paper is limited to a single case study. Replications among other samples are needed to validate curren...","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128145711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-11-01DOI: 10.1108/09544780610707075
P. Lee, P. Khong, D. Ghista
Purpose – This paper seeks to look at healthcare service quality from the viewpoint of its negative impact on the industry when there is a deficiency in the delivery of service quality. To measure this impact, the potential loss of customers due to poor quality service is measured. A potential customer loss model is proposed. To address the competitive and financially driven healthcare delivery business, a three‐pillar approach, termed the Excellent Healthcare Service Model (EHSM), is introduced. This approach advocates that the healthcare industry should use a system view to deliver quality healthcare by taking into account quality, cost, and efficiency factors in a holistic manner. Design/methodology/approach – In this paper a survey questionnaire was used to gather data necessary to compute impact of deficient healthcare service. The questionnaire was administered to a sample of 400 people and the survey method used was intercept interview. Customer loss and potential customer loss due to deficient service were computed. Findings – In this paper, findings from the research indicated that, in the healthcare industry, for every 100 customers that experienced deficient service, about 70 customers would be unlikely to patronize the same organization again. In addition, for the same 100 customers who have experienced deficient service, about 75 of them will go on to tell on average nine family members and friends about their experiences. Through word of mouth from these 75 dissatisfied customers, there will eventually be about 465 persons who might have been potential customers but will probably not patronize the organization at all based on what the dissatisfied customers have told them. Practical implications – The ideas presented in this paper provide a new way of looking at service quality performance, through the impact of deficient service. With this knowledge, economic impacts of poor service quality could easily be quantified, and such economic‐based results are usually a better motivator for managers and workers to deploy quality improvement initiatives. Originality/value – The results and ideas presented in this paper are valuable for the healthcare industry. It provides an alternative approach to quantify service quality performance. The paper also proposes a system‐based approach to enhance service process performance.
{"title":"Impact of deficient healthcare service quality","authors":"P. Lee, P. Khong, D. Ghista","doi":"10.1108/09544780610707075","DOIUrl":"https://doi.org/10.1108/09544780610707075","url":null,"abstract":"Purpose – This paper seeks to look at healthcare service quality from the viewpoint of its negative impact on the industry when there is a deficiency in the delivery of service quality. To measure this impact, the potential loss of customers due to poor quality service is measured. A potential customer loss model is proposed. To address the competitive and financially driven healthcare delivery business, a three‐pillar approach, termed the Excellent Healthcare Service Model (EHSM), is introduced. This approach advocates that the healthcare industry should use a system view to deliver quality healthcare by taking into account quality, cost, and efficiency factors in a holistic manner. Design/methodology/approach – In this paper a survey questionnaire was used to gather data necessary to compute impact of deficient healthcare service. The questionnaire was administered to a sample of 400 people and the survey method used was intercept interview. Customer loss and potential customer loss due to deficient service were computed. Findings – In this paper, findings from the research indicated that, in the healthcare industry, for every 100 customers that experienced deficient service, about 70 customers would be unlikely to patronize the same organization again. In addition, for the same 100 customers who have experienced deficient service, about 75 of them will go on to tell on average nine family members and friends about their experiences. Through word of mouth from these 75 dissatisfied customers, there will eventually be about 465 persons who might have been potential customers but will probably not patronize the organization at all based on what the dissatisfied customers have told them. Practical implications – The ideas presented in this paper provide a new way of looking at service quality performance, through the impact of deficient service. With this knowledge, economic impacts of poor service quality could easily be quantified, and such economic‐based results are usually a better motivator for managers and workers to deploy quality improvement initiatives. Originality/value – The results and ideas presented in this paper are valuable for the healthcare industry. It provides an alternative approach to quantify service quality performance. The paper also proposes a system‐based approach to enhance service process performance.","PeriodicalId":412605,"journal":{"name":"The Tqm Magazine","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133763257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：