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Total management, not total quality management.

Journal of Quality Assurance : a Publication of the National Association of Quality Assurance Professionals

|December 10, 1990

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Hospitals often fail due to a lack of a comprehensive total management (TM) approach, hindering initiatives like total quality management (TQM). Implementing TM is crucial for successful quality improvement in healthcare organizations.

Area of Science:

Healthcare Management
Organizational Development
Quality Improvement Science

Context:

Hospitals frequently face quality problems stemming from inadequate management practices.
Existing management approaches often result in fragmented, reactive problem-solving.
Initiatives such as Total Quality Management (TQM) are jeopardized in crisis-driven environments.

Purpose:

To highlight the critical need for a Total Management (TM) framework in healthcare.
To emphasize that organizational reorientation towards TM is a prerequisite for quality success.
To establish TM as the foundational element for implementing specific change tools like TQM.

Summary:

Hospitals fail due to a lack of a unified Total Management (TM) approach, leading to reactive, crisis-based operations.

Related Experiment Videos

Individual quality improvement projects, including Total Quality Management (TQM), are unlikely to succeed without a TM foundation.

Successful quality enhancement requires an initial organizational development phase to adopt TM principles and culture.

Impact:

Adopting a Total Management (TM) approach can prevent hospital failures attributed to poor management.
TM provides the necessary organizational structure and culture for effective implementation of quality improvement tools like TQM.
This strategic reorientation fosters a proactive environment, enhancing the sustainability and success of quality initiatives.