Abstract
Initiating and maintaining a total quality management (TQM) program can be one answer to rising costs and decreasing reimbursement in health care. Identifying ways that an outcome-based corporate culture fully extends to both internal and external customers is the responsibility of leadership. Developing and using simple tools can aid in that process. Once systems are implemented, maintaining a true commitment to TQM becomes a powerful challenge. But, to the persevering leader, the rewards of quality customer service can go hand in hand with a positive bottom line.
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