Integration model of total quality management and six sigma in hospital quality management

Guspianto, G.; Asyary, A.; Ibnu, I.

Abstract: Implementation of quality management is very important for hospitals to improve processes, solve problems, and reduce variations and errors in service, including through the implementation of popular Total Quality Management (TQM) and Six Sigma (SS) as new quality management strategies to increase profitability, effectiveness and efficiency of the organization's operations to meet customer’s needs. This study aims to develop an integrated hospital quality management model from the practice of TQM and SS to provide synergy in improving hospital performance. The study design was cross sectional through a survey using a questionnaire on 863 respondents, namely all employees ranging from doctors to administrative personnel at 8 hospitals. The TQM and SS practice integration model identified as “Quality Management Alliance Model (QMA)” consists of 6 variable constructs, namely: Management Practice (MP); TQM Infrastructure Practice (IPTQM); SS Infrastructure Practice (IPSS); Core Practice TQM (CPTQM); Core Practice SS (CPSS); and Hospital Performance (KRS) with 12 structural equations hypothesized. Data analysis are performed using Structural Equation Model through 2 tests, namely analysis of measurement models using confirmatory factor analysis (CFA) second order approach and structural model analysis. The results of the first order confirmatory factor analysis (CFA) analysis, after issuing invalid indicators (SLF≤0.5 and t≤1.96), obtained constructs of latent variables with models fit, valid, and reliable. Then in the second order CFA analysis on the overall model after being simplified through LVS (latent variable score) the study obtained construct model fit, valid and reliable. The results of the structural model analysis obtained a model fit with 11 structural equations that are positively and significantly related (t> 1.96). This study proves that the QMA model is feasible and can be applied to measure the implementation of hospital quality management. Hospital management is recommended to implement the QMA Model optimally to improve performance.

How to cite this paper

        APA: Guspianto, G., Asyary, A & Ibnu, I. (2021). Integration model of total quality management and six sigma in hospital quality management. Management Science Letters, 11(4), 1439-1442.
    

        Chicago/Turabian: Guspianto, G., Asyary, A & Ibnu, I. 2021. "Integration model of total quality management and six sigma in hospital quality management." Management Science Letters 11, no. 4 (2021): 1439-1442.
    

        AMA: Guspianto, G., Asyary, A & Ibnu, I. Integration model of total quality management and six sigma in hospital quality management. Management Science Letters. 2021;11(4):1439-1442.
    

References

Alolayyan, M. N., Ali, K. A. M., & Idris, F. (2011). The influence of total quality management (TQM) on operational flexibility in Jordanian hospitals. Asian Journal on Quality, 12(2), 204-222
Bowerman, J., Antony, J., Downey‐Ennis, K., Antony, F., & Seow, C. (2007). Can Six Sigma be the “cure” for our “ailing” NHS? Leadership in Health Services, 22(8), 860‐874.
Coronado, R. B., & Antony, J. (2002). Critical success factors for the successful implementation of six sigma projects in organisations. The TQM Magazine, 14(2), 92-99.
Feng, J., Prajogo, D. I., Tan, K. C., & Sohal, A. S. (2006). The impact of TQM practices on performance. European Journal of Innovation Management, 9(3), 269-278
Fening, F. A. (2012). Impact of quality management practices on the performance and growth of small and medium sized enterprises (SMEs) in Ghana. International Journal of Business and Social Science, 3(13).
Gaspersz, V., & Fontana, A. (2011). Integrated Management Problem Solving Panduan bagi Praktisi Bisnis dan Industri. Vinchristo Publication.
Haikonen, A., Savolainen, T., & Järvinen, P. (2004). Exploring Six Sigma and CI capability development: preliminary case study findings on management role. Journal of Manufacturing Technology Management, 15(4), 369-378
Ho, D. C. K., Duffy, V. G., & Shih, H. M. (2001). Total quality management: an empirical test for mediation effect. International Journal of Production Research, 39(3), 529–548.
Institute of Medicine (IOM). (2006). Performance measurement: accelerating improvement. The National Academies Press.
Kaynak, H. (2003). The relationship between total quality management practices and their effects on firm performance. Journal of Operations Management, 21(4), 405–435.
Lakhal, L., Pasin, F., & Limam, M. (2006). Quality management practices and their impact on performance. International Journal of Quality & Reliability Management, 23(6), 625-646.
Lee, S., Choi, K., Kang, H., Cho, W., & Chae, Y. M. (2002). Assessing the factors influencing continuous quality improvement implementation: experience in Korean hospitals. International Journal for Quality in Health Care, 14(5), 383–391.
Manjunath, U., Metri, B. A., & Ramachandran, S. (2007). Quality management in a healthcare organisation: a case of South Indian hospital. The TQM Magazine, 19(2), 129-139.
Nabitz, U., Klazinga, N., & Walburg, J. A. N. (2000). The EFQM excellence model: European and Dutch experiences with the EFQM approach in health care. International Journal for Quality in Health Care, 12(3), 191–202.
Rad, A. M. M. (2005). A survey of total quality management in Iran: Barriers to successful implementation in health care organizations. Leadership in Health Services, 18(3), 12–34.
Schroeder, R. G., Linderman, K., Liedtke, C., & Choo, A. S. (2009). Six Sigma: Definition and underlying theory. Quality Control and Applied Statistics, 54(5), 441–445.
Sehwail, L., & DeYong, C. (2003). Six Sigma in health care. Leadership in Health Services.
Wardhani, V., Utarini, A., van Dijk, J. P., Post, D., & Groothoff, J. W. (2009). Determinants of quality management systems implementation in hospitals. Health Policy, 89(3), 239–251.
World Health Organization. (2007). Performance Assessment Tool for Quality Improvement in Hospitals (PATH). Copenhagen: WHO Regional Office for Europe.
Zu, X., Fredendall, L. D., & Douglas, T. J. (2008). The evolving theory of quality management: the role of Six Sigma. Journal of Operations Management, 26(5), 630–650.

⭐ Highly Cited Articles

Journals

MSL Volumes

🔑 Keywords

✍️ Authors

🌍 Countries