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AMERICAN SOCIETY FOR QUALITY
QUALITY 101
Michael Hagan, D.O. MHSA, CMQ
Director of Quality Improvement
Gift of Life Michigan
QUESTIONS
• Click on Q&A tab,
type your question,
then click on ASK
• Slides:
www.aopo.org
MODULE 3
TOTAL
QUALITY
MANAGEMENT
TQM
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TQM
CWQC
TQC
CQI
Total Quality Management
Company Wide Quality Control
Total Quality Control
Continuous Quality
Improvement
TQM
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Management approach
Centered on quality
Company wide participation
Aimed at long term success
Through customer satisfaction
3 Cs of TQM
©
1
Customer relationships
2
Continuous improvement
3
Company-wide participation
2001 ASQ
All rights reserved.
ASQ IL2-6
1
Customer Definitions
Pucker Up Lemonade, Inc.
Consumers
Internal Customers
External
Customers
Loading Dock
Sorting Department
Juicing Department
Mixing Department
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2001 ASQ
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Sorting Department
Juicing Department
Mixing Department
Bottling Department
ASQ IL2-7
1
Levels of Customer Satisfaction
Noriaki Kano identified three
levels:
 Expected quality
 Desired quality
 Excited quality
©
2001 ASQ
All rights reserved.
ASQ IL2-8
CUSTOMER SATISFACTION
EXPECTED QUALITY
• Don’t have to ask for it
• Does not increase satisfaction
• Will stop using the product/service if it
is missing
CUSTOMER SATISFACTION
DESIRED QUALITY
• Added unexpected perks
• Increase customer satisfaction
• Dissatisfied if it is missing but will
probably still use product/service
CUSTOMER SATISFACTION
• EXCITED QUALITY
• Added benefit not asked for
• Radically improves satisfaction
• Satisfied even if missing
EXCITED QUALITY
• J. C. Penney
• Nordstrom’s
• Ritz Carlton
RELATIONSHIPS
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Customers
Suppliers
Partnering with suppliers
Supplier feedback
Audits
1
Customer Feedback
Has two parts:
 Efforts to capture
what customers say
about company’s
products/services
 Efforts to drive
feedback back into
organization
©
2001 ASQ
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Partnering with customer:
 Extension of listening to
customer feedback
 Most direct route to
customer satisfaction
ASQ IL2-14
SATISFACTION EXAMPLES
• Surveys
• Complaints
• Focus groups
1
Suppliers
 Any
person or organization that provides
input to a process
 Can be external or internal
©
2001 ASQ
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ASQ IL2-16
1
Supplier Audits
 Determine
the effectiveness of the quality
system.
 Provide
 Meet
©
2001 ASQ
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opportunity for improvement.
regulatory requirements.
ASQ IL2-17
P D C A CYCLE
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Shewhart cycle
Deming cycle
PDSA cycle
FOCUS – PDSA cycle
P-D-S-A Cycle
Act
Plan
•To continue •Improvement
improvement •Data collection
•Data analysis •Improvement
Study
•Lessons •Data collection
learned
Do
3
Employee Involvement
Benefits
Improved productivity
and cost reduction
 Increased participation
and job satisfaction
 Opportunities for
professional
development

©
2001 ASQ
All rights reserved.
Barriers
“It Won’t Work Here”
 Perception of loss of
management authority
 Employees feeling
“used”
 “Flavor of the month”

ASQ IL2-20
COMPANY - WIDE
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Leadership from management
All employees
Every department
Team involvement
• Quality Council’s Model QI Plan
CONTINUOUS IMPROVEMENT
• Kaizen
change
good
• Making changes for the better on a
continual, never-ending basis
CONTINUOUS IMPROVEMENT
• Incremental improvement
– Smaller changes
– Continuous in nature
– Everyday changes
• Breakthrough improvement
– Unprecedented levels of performance
– HRSA Collaborative
BENEFITS
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Productivity up, costs down
Participation & job satisfaction
Professional development
No more BTTWWADI
Employees don’t feel used
No flavor of the month negativity
3
Team Roles
Sponsor/champion
 Leader
 Member
 Facilitator

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2001 ASQ
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ASQ IL2-25
3
Team Development
Forming
Storming
Norming
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2001 ASQ
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Performing
ASQ IL2-26
TEAM STAGES
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Forming: focus energy into system
Storming: conflict, competition
Norming: develop a common focus
Performing: individual talents
– Team problem solving
– Implement change
– Achievement, success, pride
GROUP THINK
• “If everyone is thinking the same
thing, then someone isn’t thinking”
Gen. George Patton
Communication Process
Who . . .
Communicator
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2001 ASQ
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says what . . .
Message
in what way . . .
Medium
to whom . . .
Receiver
ASQ IL2-29
W. Edwards Deming
Quality keys:
 Understanding
customer needs
 Process improvement
 Statistical analysis
 Expertise of workers
 PDCA cycle
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2001 ASQ
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ASQ IL2-30
1. DEMING
1.
2.
3.
4.
5.
14 POINTS
Create constancy of purpose
Adopt a new philosophy
Stop dependence on inspection
Don’t focus on price tag
Improve constantly & forever
DEMING
14 POINTS
6. Institute training
7. Institute leadership
8. Drive out fear
9. Break down barriers
10. Eliminate slogans, exhortations
DEMING
14 POINTS
11. Eliminate quotas; use leadership
– don’t manage by objective
– eliminate annual merit raises
12. Remove barriers to workmanship
13. Vigorous education program
14. Involve everybody
Joseph M. Juran
Quality keys:
 Features that satisfy
customers
 Freedom from
deficiencies
 Juran Trilogy®
– Quality planning
– Quality control
– Quality improvement
©
2001 ASQ
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ASQ IL2-34
JURAN TRILOGY
QUALITY PLANNING
• Establish quality goals
• Identify customers
• Find customer needs
• Products/service to meet needs
• Establish process controls
JURAN TRILOGY
QUALITY CONTROL
• Find process to control
• Chose measurement
• Gap analysis
• Take action to improve
JURAN TRILOGY
QUALITY IMPROVEMENT
• Infrastructure for annual QI
• Identify the need
• Establish the team
• Find the cause & solution
• Hold the gains
Kaoru Ishikawa
Quality keys:
 Company-wide
participation
 Quality control circles
 Advanced statistical
methods and tools
 Nationwide quality
control promotion
©
2001 ASQ
All rights reserved.
ASQ IL2-38
ISHIKAWA
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Company-wide involvement
Quality education & training
Quality control circles
Seven basic tools
Nationwide QI activities
ISHIKAWA
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5.
6.
7.
7 TOOLS
Flowcharts
Check sheets
Pareto charts
Cause & effect diagrams
Scatter charts
Control charts
Histograms
Armand V. Feigenbaum
Quality keys:
 Total quality control
 Integration of quality
development,
maintenance, and
improvement
 Focus on internal and
external customers
©
2001 ASQ
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ASQ IL2-41
FEIGENBAUM
• Total Quality Control
• The state of being excellence driven
rather than defect driven
FEIGENBAUM
TQC
• Company-wide process
• Quality defined by customer
• Quality & cost are a sum,
not difference
• Individual effort & teamwork
• Quality is a way of managing
FEIGENBAUM
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TQC
Quality depends on innovation
Quality is an ethic
Quality is continuous improvement
Quality is cost effective
vs. cost of poor quality
Quality is a total system with
customers and suppliers
Genichi Taguchi
Quality keys:
 Quality should be
designed in.
 Quality should
minimize deviations
from a target.
 DOE optimizes
performance.
©
2001 ASQ
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ASQ IL2-45
Philip Crosby
Quality keys:
 Conformance to
requirements
 Prevention
 Zero Defects
 Price of
nonconformance
©
2001 ASQ
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ASQ IL2-46
CROSBY
4 ABSOLUTES
1. Quality is defined as conformance to
requirements,
not as goodness
2. System causing quality is prevention,
not appraisal
CROSBY
4 ABSOLUTES
3. Performance standard is
zero defects, not “close enough”
4. Measurement of quality is the price of
non-conformance,
not indexes
Baldrige National Quality Program
Seven categories for performance excellence:
Leadership
 Strategic Planning
 Customer and Market
Focus
 Information and Analysis
 Human Resource Focus

©
2001 ASQ
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 Process
Management
 Business Results
ASQ IL2-49
Six Sigma
Represents 3.4 defects
per million.
 Uses an integrated set
of statistical tools to
solve problems and
improve processes.

©
2001 ASQ
All rights reserved.
ASQ IL2-50
SIX SIGMA
• In statistics, measure of variation
• Standard deviation
• Motorola in 1986
SIX SIGMA
• Zero defects concept
• Six sigma effectively is:
3.4 defects per million
99.99966% good
TOWARDS SIX SIGMA
AOPO QUALITY COUNCIL
• AOPO Quality Council’s
Model Quality Improvement Plan
Incorporates these concepts
of quality planning, quality control,
and quality improvement
MODEL QI PLAN
SPECIFIC RESPONSIBILITIES
– Board members
– Executive Director
– Managers
– Every Department
– Every person
– PDSA Cycle
QUESTIONS
• Click on Q&A tab, type your question,
then click on ASK
• Slides: www.aopo.org,
• Contact: Dr. Michael Hagan
[email protected]
734-922-1072