title: The performance impact of context in TQM implementation: the nursing facility industry.
abstract: This study develops a model and empirically assesses how# organizational context mediates the impact of total quality management (TQM) implementation on perceived performance in the nursing facility industry. Outcomes are analysed for financial, human resources and resident-care performance. Contextual factors related to TQM implementation include managerial control, reward systems, organizational structure and the extent of implementation. Duration of TQM implementation is included as a control variable. Benchmarking has a positive impact on financial outcomes, and the extent of TQM implementation and required reporting of quality improvement activity results have a positive impact on both financial and human resources performance. The presence of a Quality Steering Council has a positive impact on financial performance, but only among larger facilities.
authors.affiliation: Department of Health Policy & Administration, Pennsylvania State University, 116 Henderson Building, University Park, PA 16801, USA. rxw25@psu.edu
authors.forename: R
authors.initials: R
authors.lastname: Weech-Maldonado
authors.forename: J E
authors.initials: JE
authors.lastname: Zinn
authors.forename: R D
authors.initials: RD
authors.lastname: Hamilton
mesh_terms: D019985:Benchmarking; D017598:Efficiency, Organizational; D006302:Health Services Research; D006801:Humans; D009735:Nursing Homes / Q000592:standards*; D010414:Pennsylvania; D010559:Personnel Management; D012201:Reward; D017749:Total Quality Management / Q000458:organization & administration*