Total quality management: three case studies from around

the world
With organisations to run and big orders to fill, it’s easy to see how some CEOs
inadvertently sacrifice quality for quantity. By integrating a system of total
quality management it’s possible to have both
 21 January 2014
Europeanceo.com

Businesses that have implemented a total quality management strategy have subsequently recorded impressive growth,
improved efficiency and increased profit margins

There are few boardrooms in the world whose inhabitants don’t salivate at the thought of engaging in a little aggressive
expansion. After all, there’s little room in a contemporary, fast-paced business environment for any firm whose leaders don’t
subscribe to ambitions of bigger factories, healthier accounts and stronger turnarounds. Yet too often such tales of excess go
hand-in-hand with complaints of a severe drop in quality.

Food and entertainment markets are riddled with cautionary tales, but service sectors such as health and education aren’t
immune to the disappointing by-products of unsustainable growth either. As always, the first steps in avoiding a catastrophic
forsaking of quality begins with good management.

There are plenty of methods and models geared at managing the quality of a particular company’s goods or services. Yet very
few of those models take into consideration the widely held belief that any company is only as strong as its weakest link.
With that in mind, management consultant William Deming developed an entirely new set of methods with which to address
quality.

Deming, whose managerial work revolutionised the titanic Japanese manufacturing industry, perceived quality management
to be more of a philosophy than anything else. Top-to-bottom improvement, he reckoned, required uninterrupted
participation of all key employees and stakeholders. Thus, the total quality management (TQM) approach was born.

All in
Similar to the Six Sigma improvement process, TQM ensures long-term success by enforcing all-encompassing internal
guidelines and process standards to reduce errors. By way of serious, in-depth auditing – as well as some well-orchestrated
soul-searching – TQM ensures firms meet stakeholder needs and expectations efficiently and effectively, without forsaking
ethical values.
By opting to reframe the way employees think about the company’s goals and processes, TQM allows CEOs to make sure
certain things are done right from day one. According to Teresa Whitacre, of international consulting firm ASQ, proper
quality management also boosts a company’s profitability.

“Total quality management allows the company to look at their management system as a whole entity — not just an output of
the quality department,” she says. “Total quality means the organisation looks at all inputs, human resources, engineering,
production, service, distribution, sales, finance, all functions, and their impact on the quality of all products or services of the
organisation. TQM can improve a company’s processes and bottom line.”

Embracing the entire process sees companies strive to improve in several core areas, including: customer focus, total
employee involvement, process-centred thinking, systematic approaches, good communication and leadership and
integrated systems. Yet Whitacre is quick to point out that companies stand to gain very little from TQM unless they’re
willing to go all-in.

“Companies need to consider the inputs of each department and determine which inputs relate to its governance system.
Then, the company needs to look at the same inputs and determine if those inputs are yielding the desired results,” she says.
“For example, ISO 9001 requires management reviews occur at least annually. Aside from minimum standard requirements,
the company is free to review what they feel is best for them. While implementing TQM, they can add to their management
review the most critical metrics for their business, such as customer complaints, returns, cost of products, and more.”

The customer knows best: AtlantiCare

TQM isn’t an easy management strategy to introduce into a business; in fact, many attempts tend to fall flat. More often than
not, it’s because firms maintain natural barriers to full involvement. Middle managers, for example, tend to complain their
authority is being challenged when boots on the ground are encouraged to speak up in the early stages of TQM. Yet in a
culture of constant quality enhancement, the views of any given workforce are invaluable.

AtlantiCare in numbers

5,000
Employees

$280m
Profits before quality improvement strategy was implemented

$650m
Profits after quality improvement strategy

One firm that’s proven the merit of TQM is New Jersey-based healthcare provider AtlantiCare. Managing 5,000 employees
at 25 locations, AtlantiCare is a serious business that’s boasted a respectable turnaround for nearly two decades. Yet in order
to increase that margin further still, managers wanted to implement improvements across the board. Because patient
satisfaction is the single-most important aspect of the healthcare industry, engaging in a renewed campaign of TQM proved a
natural fit. The firm chose to adopt a ‘plan-do-check-act’ cycle, revealing gaps in staff communication – which subsequently
meant longer patient waiting times and more complaints. To tackle this, managers explored a sideways method of internal
communications. Instead of information trickling down from top-to-bottom, all of the company’s employees were given
freedom to provide vital feedback at each and every level.

AtlantiCare decided to ensure all new employees understood this quality culture from the onset. At orientation, staff now
receive a crash course in the company’s performance excellence framework – a management system that organises the firm’s
processes into five key areas: quality, customer service, people and workplace, growth and financial performance. As
employees rise through the ranks, this emphasis on improvement follows, so managers can operate within the company’s
tight-loose-tight process management style.

After creating benchmark goals for employees to achieve at all levels – including better engagement at the point of delivery,
increasing clinical communication and identifying and prioritising service opportunities – AtlantiCare was able to thrive.
The number of repeat customers at the firm tripled, and its market share hit a six-year high. Profits unsurprisingly followed.
The firm’s revenues shot up from $280m to $650m after implementing the quality improvement strategies, and the number
of patients being serviced dwarfed state numbers.

Hitting the right notes: Santa Cruz Guitar Co

For companies further removed from the long-term satisfaction of customers, it’s easier to let quality control slide. Yet there
are plenty of ways in which growing manufacturers can pursue both quality and sales volumes simultaneously. Artisan
instrument makers the Santa Cruz Guitar Co (SCGC) prove a salient example. Although the California-based company is
still a small-scale manufacturing operation, SCGC has grown in recent years from a basement operation to a serious
business.

SCGC in numbers

14
Craftsmen employed by SCGC

800
Custom guitars produced each year

Owner Dan Roberts now employs 14 expert craftsmen, who create over 800 custom guitars each year. In order to ensure the
continued quality of his instruments, Roberts has created an environment that improves with each sale. To keep things
efficient (as TQM must), the shop floor is divided into six workstations in which guitars are partially assembled and then
moved to the next station. Each bench is manned by a senior craftsman, and no guitar leaves that builder’s station until he is
100 percent happy with its quality. This product quality is akin to a traditional assembly line; however, unlike a traditional,
top-to-bottom factory, Roberts is intimately involved in all phases of instrument construction.

Utilising this doting method of quality management, it’s difficult to see how customers wouldn’t be satisfied with the artists’
work. Yet even if there were issues, Roberts and other senior management also spend much of their days personally
answering web queries about the instruments. According to the managers, customers tend to be pleasantly surprised to find
the company’s senior leaders are the ones answering their technical questions and concerns. While Roberts has no intentions
of taking his manufacturing company to industrial heights, the quality of his instruments and high levels of customer
satisfaction speak for themselves; the company currently boasts one lengthy backlog of orders.

A quality education: Ramaiah Institute of Management Studies

Although it may appear easier to find success with TQM at a boutique-sized endeavour, the philosophy’s principles hold true
in virtually every sector. Educational institutions, for example, have utilised quality management in much the same way –
albeit to tackle decidedly different problems.

The global financial crisis hit higher education harder than many might have expected, and nowhere have the odds stacked
higher than in India. The nation plays home to one of the world’s fastest-growing markets for business education. Yet over
recent years, the relevance of business education in India has come into question. A report by one recruiter recently asserted
just one in four Indian MBAs were adequately prepared for the business world.

RIMS in numbers

9%
Increase in test scores post total quality management strategy

22%
Increase in number of recruiters hiring from the school

20,000
Increase in the salary offered to graduates

50,000
Rise in placement revenue

At the Ramaiah Institute of Management Studies (RIMS) in Bangalore, recruiters and accreditation bodies specifically
called into question the quality of students’ educations. Although the relatively small school has always struggled to compete
with India’s renowned Xavier Labour Research Institute, the faculty finally began to notice clear hindrances in the success of
graduates. The RIMS board decided it was time for a serious reassessment of quality management.

The school nominated Chief Academic Advisor Dr Krishnamurthy to head a volunteer team that would audit, analyse and
implement process changes that would improve quality throughout (all in a particularly academic fashion). The team was
tasked with looking at three key dimensions: assurance of learning, research and productivity, and quality of placements.
Each member underwent extensive training to learn about action plans, quality auditing skills and continuous improvement
tools – such as the ‘plan-do-study-act’ cycle.

Once faculty members were trained, the team’s first task was to identify the school’s key stakeholders, processes and their
importance at the institute. Unsurprisingly, the most vital processes were identified as student intake, research, knowledge
dissemination, outcomes evaluation and recruiter acceptance. From there, Krishnamurthy’s team used a fishbone diagram to
help identify potential root causes of the issues plaguing these vital processes. To illustrate just how bad things were at the
school, the team selected control groups and administered domain-based knowledge tests.

The deficits were disappointing. A RIMS students’ knowledge base was rated at just 36 percent, while students at Harvard
rated 95 percent. Likewise, students’ critical thinking abilities rated nine percent, versus 93 percent at MIT. Worse yet, the
mean salaries of graduating students averaged $36,000, versus $150,000 for students from Kellogg. Krishnamurthy’s team
had their work cut out.

To tackle these issues, Krishnamurthy created an employability team, developed strategic architecture and designed pilot
studies to improve the school’s curriculum and make it more competitive. In order to do so, he needed absolutely every
employee and student on board – and there was some resistance at the onset. Yet the educator asserted it didn’t actually take
long to convince the school’s stakeholders the changes were extremely beneficial.

“Once students started seeing the results, buy-in became complete and unconditional,” he says. Acceptance was also
achieved by maintaining clearer levels of communication with stakeholders. The school actually started to provide
shareholders with detailed plans and projections. Then, it proceeded with a variety of new methods, such as incorporating
case studies into the curriculum, which increased general test scores by almost 10 percent. Administrators also introduced a
mandate saying students must be certified in English by the British Council – increasing scores from 42 percent to 51
percent.

By improving those test scores, the perceived quality of RIMS skyrocketed. The number of top 100 businesses recruiting
from the school shot up by 22 percent, while the average salary offers graduates were receiving increased by $20,000.
Placement revenue rose by an impressive $50,000, and RIMS has since skyrocketed up domestic and international
education tables.

No matter the business, total quality management can and will work. Yet this philosophical take on quality control will only
impact firms that are in it for the long haul. Every employee must be in tune with the company’s ideologies and desires to
improve, and customer satisfaction must reign supreme.

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