TQO: A Study of the Adoption and Implementation of Quality Programs at the Work Unit Level

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Poole A Study of the Adoption and Implementation of Quality Programs at the Work Unit Level Abstract No matter how well-designed an organization-wide quality program might be, it will fail to have an effect if it is not adopted by the organization's work units. The willingness of work units to adopt and fully implement quality programs determines the ultimate impact and effectiveness of these programs. There is a dearth of knowledge concerning the adoption and implementation of quality programs by work units. Hackman and Wageman's (1995) review of total quality management research indicated that of 99 studies they reviewed, only 4 assessed degree of implementation of quality programs. Given the high rate of discontinuation of quality initiatives, knowledge of the factors that promote adoption and effective implementation of quality programs would be useful from both a theoretical and practical standpoint. This project investigates three interrelated explanations of the adoption and implementation of quality programs: structural, process and institutional explanations. Dependent variables are decision to adopt, degree of implementation of quality program, and degree of effectiveness of quality program. The study will investigate the ability of the three models to predict adoption and degree of implementation of quality programs within a large health care organization. +f/ªÛ=+ ± ╝- ¼- + + + n ¸ P u c j k t u ± ╝ ª - ª + + -! -! -! -! -! -! -! -! -! -! -! -! -! -! -! -!ª K @¹+ Normal a ` A@ +- ` Default Paragraph Font + + ++++ ++ + n + ` + ª dean A:\Poole.doc+@HP DeskJet 520 Printer LPT1: DESKJETC HP DeskJet 520 Printer HP DeskJet 520 Printer ` ( -Ð , , A ^ ª | » Ó a ░ a Ó HP DeskJet 520 Printer ` ( -Ð , , A ^ ª | » Ó a ░ a Ó s 5 s s 1 + Times New Roman + Symbol &+ Arial ` q ª f h ▀ & ▀ & T + ª $