Global Quality Awards & Frameworks

Chapter 1
Foundations of Quality Awards and Business Excellence

Post Graduate Program in Total Quality Management
Global Quality Awards & Frameworks   •   Post Graduate

Foundations of Quality Awards and Business Excellence

Introduction

Quality awards and business-excellence frameworks are important instruments in the development of modern quality management. They provide organizations with structured ways to examine how they are governed, how value is created for stakeholders, and how results are achieved and sustained. Their purpose is broader than recognizing a technically defect-free product. They assess the capability of the whole organization: leadership, strategy, people, processes, partnerships, innovation, customer relationships, social responsibility, and results.

The contemporary quality movement did not emerge fully formed. It developed through several overlapping stages. Early industrial systems emphasized inspection: defective items were identified after production. Quality control introduced statistical methods and process monitoring. Quality assurance expanded attention to planned systems and prevention. Total Quality Management (TQM) then treated quality as an organization-wide management philosophy. Business-excellence models extended this philosophy by connecting quality with strategy, adaptability, stakeholder value, sustainability, and organizational performance.

A critical foundation is the ability to distinguish related but different concepts. An award is a recognition mechanism. A standard specifies agreed requirements or guidance. Certification is a conformity-assessment decision made against specified requirements. Accreditation is formal recognition of the competence of an organization that performs conformity assessment. An excellence framework is a diagnostic and improvement model that helps an organization understand how its practices produce results.

Learning Objectives

After studying this chapter, the learner should be able to:

  1. Explain the historical evolution from inspection to organizational excellence.
  2. Distinguish quality control, quality assurance, TQM, business excellence, awards, standards, certification, and accreditation.
  3. Describe the logic and characteristics of major global quality awards and excellence frameworks.
  4. Evaluate the strategic value and limitations of external recognition systems.
  5. Apply an excellence framework to diagnose an organizational situation.
  6. Identify governance, ethical, and implementation issues in the use of quality awards.

1. The Meaning of Quality

Quality is not a single universal attribute. In manufacturing, it may refer to conformance to specifications, reliability, durability, safety, or fitness for use. In services, it may include responsiveness, accessibility, empathy, accuracy, and the experience of the user. At an organizational level, quality includes the consistent ability to create value for customers and other relevant stakeholders while meeting applicable requirements.

Two influential interpretations are useful. Philip Crosby associated quality with conformance to requirements and emphasized prevention and the cost of nonconformance. Joseph Juran emphasized fitness for use and the managerial processes of quality planning, quality control, and quality improvement. W. Edwards Deming connected quality with reduction of variation, understanding of systems, leadership, and continuous improvement. These perspectives are complementary but not identical. Conformance is necessary in many contexts, but conformance alone does not guarantee that a product or service remains relevant or valuable to users.

Quality therefore has at least four dimensions:

  • Specified quality: compliance with stated requirements.
  • Perceived quality: the customer’s or user’s experience and judgment.
  • Process quality: the capability and consistency of the process producing the output.
  • Strategic quality: the organization’s ability to sustain value, resilience, and improvement over time.

This multidimensional view explains why business-excellence frameworks examine both operational performance and organizational leadership.

2. Evolution of Quality Management

2.1 Inspection

Inspection is the earliest formal quality approach. Workers or inspectors examine materials, components, or finished products and separate conforming from nonconforming output. Inspection is useful where safety, legal compliance, or critical characteristics require verification. However, it is fundamentally reactive. It detects defects after resources have already been consumed and does not necessarily reveal why the defects occurred.

Inspection also creates a potentially misleading assumption: that quality belongs to an inspection department. In reality, inspectors can identify nonconformity, but they cannot by themselves design capable processes, establish appropriate requirements, or create a culture of prevention.

2.2 Quality Control

Quality control (QC) uses operational techniques to fulfil quality requirements. It includes inspection, testing, statistical process control, sampling, measurement-system evaluation, and corrective action. QC shifts attention from merely sorting outputs to controlling the processes that generate them.

Statistical process control is based on the distinction between common-cause variation, which is inherent in a stable process system, and special-cause variation, which arises from identifiable disturbances. A process may be stable but incapable of meeting customer requirements, or apparently capable for a period while being statistically unstable. Effective control therefore requires both process stability and an assessment of capability against requirements.

2.3 Quality Assurance

Quality assurance (QA) consists of planned and systematic activities that provide confidence that requirements will be fulfilled. QA emphasizes documented responsibilities, process definition, design controls, supplier controls, audits, validation, records, and preventive action. It is concerned with building confidence into the system rather than relying only on final inspection.

The distinction between QC and QA is not absolute. QC focuses strongly on operational control and output conformity; QA focuses strongly on planned systems and confidence in conformity. In practice, mature quality systems integrate both.

2.4 Total Quality Management

TQM is an organization-wide approach in which quality is made a central responsibility of leadership and every function. It typically includes customer focus, employee involvement, process management, fact-based decision-making, supplier partnership, prevention, continuous improvement, and a long-term orientation.

TQM is not simply a collection of tools. Quality circles, Pareto analysis, cause-and-effect diagrams, benchmarking, and statistical methods can support TQM, but tools do not constitute the philosophy. TQM requires alignment between organizational purpose, leadership behaviour, systems, culture, and measurement.

A common TQM logic is:

customer and stakeholder needs → organizational processes → outputs and outcomes → learning and improvement

This logic emphasizes that results are produced by interconnected processes rather than by isolated departments.

2.5 Business Excellence

Business excellence is a broader conception of sustained organizational performance. It includes quality but also addresses strategy execution, innovation, agility, sustainability, risk, social responsibility, employee capability, and stakeholder outcomes. An excellent organization is not merely compliant; it learns, adapts, and consistently delivers balanced results.

The movement from TQM to business excellence reflects several changes:

  • competition became global and more knowledge-intensive;
  • customers gained greater choice and access to information;
  • intangible assets and employee knowledge became more important;
  • sustainability and social legitimacy became strategic concerns;
  • organizations needed resilience rather than only efficiency;
  • performance had to be assessed across multiple stakeholders.

Business excellence should not be interpreted as a claim of perfection. It is better understood as a disciplined, evidence-based journey of organizational learning and improvement.

3. Important Quality Concepts

Customer and stakeholder focus

Customer focus means understanding present and future needs and translating them into value. Stakeholder thinking extends attention to employees, owners, regulators, suppliers, communities, and society. Stakeholder interests may conflict; therefore, leadership must make transparent and principled trade-offs.

Process orientation

A process transforms inputs into outputs through a sequence of activities. Process orientation encourages organizations to define interfaces, identify risks, measure performance, and improve the complete value stream rather than optimize isolated departments.

Prevention and continual improvement

Prevention seeks to remove causes before nonconformity occurs. Continual improvement involves repeated, structured efforts to enhance products, services, processes, or systems. Improvement may be incremental, such as reducing waiting time, or transformational, such as redesigning a service through digital technology.

Evidence-based decision-making

Decisions should use reliable information, appropriate analysis, and explicit assumptions. Data alone are not evidence unless their validity, completeness, context, and limitations are understood. Excessive measurement can also create dysfunctional behaviour if indicators are poorly designed.

Organizational learning

Learning occurs when experience changes knowledge, behaviour, processes, or strategy. Single-loop learning corrects deviations within existing assumptions. Double-loop learning questions the assumptions, goals, or rules underlying the system. Excellence frameworks encourage both forms of learning.

4. Awards, Standards, Accreditation, Certification, and Frameworks

The following distinctions are essential for managers and quality professionals.

ConceptPrimary purposeTypical basisTypical outcome
AwardRecognize exemplary organizational performanceAward criteria and evidencePublic or formal recognition
StandardSpecify requirements or provide guidanceConsensus documentDefined benchmark or requirements
CertificationProvide assurance of conformityAudit against a standard or schemeCertificate with scope and validity conditions
AccreditationRecognize competence of conformity assessorsAccreditation requirements and peer assessmentFormal recognition of competence
Excellence frameworkDiagnose and improve organizational performancePrinciples, criteria, and results logicFeedback, maturity assessment, or award application
RegulationProtect public interests through mandatory rulesLaw or legally authorized requirementsCompliance obligation and enforcement

Awards

A quality award is usually a competitive or evaluative recognition system. Applicants submit evidence, undergo assessment, and receive feedback or recognition. Awards may be national, sectoral, regional, or global. They can motivate improvement, provide benchmarking information, and strengthen organizational reputation.

An award is not automatically proof that every product or process is defect-free. It reflects an assessment against defined criteria at a particular time. The validity of the conclusion depends on the quality of the criteria, assessor competence, evidence, and governance of the award process.

Standards

A standard is an agreed reference document. Some standards specify requirements, while others provide guidance, vocabulary, methods, or technical specifications. ISO 9001, for example, specifies requirements for a quality management system; it does not prescribe one universal organizational structure or guarantee superior business performance.

Standards can support consistency and interoperability, but rigid or superficial implementation may produce bureaucracy. Their value depends on integration with actual work and organizational purpose.

Certification

Certification is a third-party conformity-assessment activity in which an independent certification body evaluates whether an organization, product, service, person, or process meets specified requirements. A certificate has a defined scope. Certification to a management-system standard does not mean that every output is perfect, nor does it imply that the organization is the best performer in its industry.

Certification audits are generally sample-based. Consequently, they provide reasonable assurance within a defined scope, not absolute assurance that no nonconformity exists.

Accreditation

Accreditation is the formal recognition that a conformity-assessment body is competent to perform specified activities. For example, an accreditation body may assess whether a certification body is competent and impartial to certify management systems. Accreditation therefore operates one level above certification in the confidence chain.

A simplified relationship is:

standard or scheme requirements → certification body assesses organization → accreditation body assesses certification body

This hierarchy helps protect trust in conformity assessment.

Excellence frameworks

An excellence framework is a structured model for examining how an organization operates and what results it achieves. It normally links enabling practices—such as leadership, strategy, people, and processes—to results—such as customer, workforce, societal, and financial outcomes. Frameworks are generally less prescriptive than standards. They ask, “How effective is the organization and how does it know?” rather than merely, “Has a specified requirement been met?”

5. Major Global Awards and Frameworks

Deming Prize

Established in Japan in 1951, the Deming Prize is associated with the development and application of company-wide quality control and statistical quality management. It emphasizes the use of quality principles, methods, and systems suited to the organization’s context. The prize is historically significant because it reflects the Japanese quality movement and the influence of Deming’s ideas on management practice.

The Deming approach gives substantial importance to diagnosis, deployment, statistical thinking, improvement, and the relationship between management systems and results. It is not simply a competition in statistical tools; it evaluates how quality management is embedded in organizational management.

Malcolm Baldrige National Quality Award

The Malcolm Baldrige National Quality Award was established in the United States in 1987. Its framework has traditionally addressed categories such as leadership; strategy; customers; measurement, analysis, and knowledge management; workforce; operations; and results. The framework is used both for recognition and self-assessment.

Its distinctive contribution is the emphasis on an integrated systems perspective. Organizations are expected to demonstrate alignment, integration, learning, and results rather than isolated initiatives. The Baldrige framework has influenced quality and performance-excellence programs internationally.

EFQM Model

The European Foundation for Quality Management (EFQM) Model is widely used in Europe and elsewhere. Contemporary versions organize assessment around the organization’s direction, execution, and results. The model emphasizes purpose, strategy, organizational culture, stakeholder engagement, sustainable value, performance, and transformation.

EFQM is especially useful for strategic self-assessment because it links why an organization exists, how it executes its strategy, and what it achieves. It is not a certification standard in the same sense as ISO 9001, although organizations may be assessed or recognized through EFQM-related schemes.

Other national and sectoral systems

Many countries operate national quality or excellence awards. Examples include the Japan Quality Award, Singapore Quality Award, Australian Business Excellence Awards, and national schemes influenced by Baldrige or EFQM. Sector-specific models also exist in healthcare, education, public administration, and service industries.

Although names and criteria differ, mature systems commonly evaluate leadership, strategy, customers, people, processes, innovation, and results. Direct comparison must be cautious because scoring rules, eligibility, assessor methods, and national contexts differ.

6. How Excellence Assessment Works

A typical assessment process includes:

  1. Eligibility and application: the organization defines its scope and submits an organizational profile.
  2. Self-assessment: internal teams examine practices, deployment, learning, and results.
  3. Evidence submission: the organization provides qualitative and quantitative evidence.
  4. Independent assessment: trained assessors review the submission and may conduct site visits or interviews.
  5. Consensus and scoring: assessors discuss strengths, gaps, and maturity.
  6. Feedback report: the organization receives observations and improvement opportunities.
  7. Recognition decision: the awarding body determines recognition according to published rules.
  8. Follow-up: the organization uses feedback to set priorities and monitor progress.

A sound assessment considers not only whether an approach exists, but also whether it is deployed, effective, reviewed, and improved. Results should be segmented where relevant—for example by customer group, region, product, demographic group, or process stage. Aggregate averages can hide inequity or serious localized failure.

7. Strategic Value and Limitations

Potential benefits

Quality awards and excellence frameworks can:

  • create a common language for organizational performance;
  • integrate quality with strategy;
  • reveal cross-functional weaknesses;
  • stimulate leadership attention;
  • provide structured self-assessment;
  • strengthen employee engagement;
  • support benchmarking and learning;
  • improve stakeholder confidence;
  • identify priorities for investment and innovation.

The application process itself may be more valuable than the trophy. Preparing evidence forces managers to clarify objectives, measures, responsibilities, and causal relationships.

Risks and limitations

Awards can also create undesirable effects. Organizations may pursue recognition for prestige rather than capability. Managers may manipulate indicators, exclude inconvenient data, or focus on documentation at the expense of customer value. Assessment criteria may encourage conformity and discourage unconventional innovation. A successful organization in one national or institutional context may not be directly transferable to another.

Recognition is also subject to temporal and contextual limitations. A company may receive an award during a period of strong performance and later deteriorate because of leadership change, market disruption, or ethical failure. Awards should therefore be treated as evidence of assessed capability at a point in time, not as permanent guarantees.

8. Governance, Ethics, and Responsible Use

Award and certification systems require impartiality, confidentiality, assessor competence, transparent criteria, and conflict-of-interest controls. Organizations should not misrepresent an award as regulatory approval, product certification, or proof of universal superiority.

Ethical measurement is particularly important. If managers reward only short-term output, employees may conceal defects, delay reporting, or prioritize measurable targets over safety and dignity. Balanced measures should include leading indicators, lagging outcomes, qualitative evidence, and stakeholder impacts.

Organizations should also consider accessibility, non-discrimination, privacy, and environmental effects. Excellence cannot be reduced to profitability if financial success depends on unsafe work, misleading communication, exploitation of suppliers, or environmental damage.

Digital systems and artificial intelligence can support evidence collection, process mining, customer analysis, predictive maintenance, and benchmarking. However, algorithmic outputs require data governance, validation, explainability, cybersecurity, and human accountability. Automated dashboards do not replace managerial judgment or ethical responsibility.

9. An Integrated Implementation Approach

A practical organization-wide approach may proceed as follows:

Establish purpose and scope

Leadership should clarify why the organization is using an excellence framework. Objectives may include strategic alignment, service improvement, preparation for recognition, or organizational learning. Scope should cover the relevant business unit, locations, stakeholders, and value streams.

Build the organizational profile

The profile describes products and services, customers, suppliers, competitors, regulatory conditions, workforce, strategic challenges, and operating context. Without this profile, assessment can become a generic checklist.

Map strategy to processes and outcomes

Strategic objectives should be connected to critical processes, owners, measures, and expected outcomes. This avoids the common problem of collecting indicators that are not linked to decisions.

Conduct evidence-based self-assessment

Teams should identify strengths, gaps, trends, comparisons, and causes. Evidence should include results and the management approaches that produced them. Interviews and observation are useful because documents alone may not reflect actual practice.

Prioritize improvement

Improvement priorities should consider stakeholder impact, risk, feasibility, cost, interdependence, and strategic importance. Not every gap requires an immediate project. A portfolio of improvements is generally more effective than a collection of disconnected initiatives.

Review and learn

Leadership reviews should examine whether actions produced intended outcomes, whether unintended consequences occurred, and whether assumptions remain valid. Learning should be embedded in planning, budgeting, capability development, and governance.

10. Illustrative Case: Meridian Community Hospital

Background

Meridian Community Hospital is a fictional 280-bed regional hospital. It had an ISO 9001-certified quality management system, but patient complaints, medication delays, and employee turnover were increasing. Senior management initially proposed applying for a national excellence award to improve reputation.

Problem

An internal review found that departments had separate improvement projects, but no shared view of patient journeys. The hospital reported average waiting time, yet did not segment results by emergency, outpatient, and vulnerable-patient groups. Staff surveys were conducted but results were not consistently connected to action. Certification had encouraged documented procedures, but many employees viewed quality as the responsibility of the quality department.

Analysis

Using an excellence framework, the hospital examined leadership, strategy, patients and stakeholders, workforce, operations, and results. The analysis showed three systemic causes:

  1. strategic objectives were not translated into cross-functional process measures;
  2. medication reconciliation responsibilities were unclear at department interfaces;
  3. improvement activity emphasized compliance evidence rather than patient outcomes.

The assessment also identified a governance risk: a proposed award application might reward polished documentation without resolving the underlying service problems.

Approach and solution

The hospital postponed its award application for one year. It formed a patient-flow steering group involving clinicians, pharmacists, nurses, administrators, patients, and information-technology staff. The group mapped the medication process from admission to discharge, established ownership at each handoff, and introduced daily review of high-risk cases.

A balanced scorecard was developed with measures for patient safety, waiting time, patient experience, workforce engagement, learning, and resource use. Data were segmented by service line and patient characteristics where ethically and legally appropriate. Staff received training in root-cause analysis and speaking-up procedures. Leaders conducted monthly learning reviews rather than merely checking document completion.

Outcome

After twelve months, medication reconciliation reliability improved, avoidable delays declined, and employee survey results indicated greater clarity of responsibility. The hospital still had performance variation between units, so it did not claim that excellence had been achieved. It used the evidence to refine its improvement portfolio and later submitted a stronger, more honest award application.

Learning points

The case illustrates that certification and excellence recognition serve different purposes. Certification helped establish a controlled management system, but the excellence framework exposed weaknesses in integration, stakeholder outcomes, and learning. The award process became valuable only after the hospital treated it as a means of improvement rather than as a communications exercise.

11. Contemporary Developments

Current excellence thinking increasingly incorporates resilience, sustainability, digital transformation, responsible innovation, and ecosystem management. Organizations are assessed not only on internal performance but also on their effects across supply networks and communities. Climate risk, cybersecurity, artificial-intelligence governance, and geopolitical disruption have become relevant to quality and continuity.

The concept of quality is also becoming more inclusive. A service may be technically reliable but unacceptable if it excludes people with disabilities, produces inequitable outcomes, or violates privacy. Future excellence systems are therefore likely to combine operational performance with social, environmental, and ethical value.

The most mature approach is not to select between standards, certification, and excellence frameworks. Standards can establish disciplined processes; certification can provide independent conformity assurance; excellence frameworks can support strategic learning; and awards can provide recognition and external challenge. Their usefulness depends on how intelligently they are integrated.

Chapter Summary

Quality management evolved from final inspection to process control, quality assurance, TQM, and broader business excellence. Each stage expanded the organization’s responsibility for quality, moving from defect detection toward prevention, learning, strategic alignment, and stakeholder value.

Awards recognize assessed performance, standards specify requirements or guidance, certification provides third-party conformity assurance, accreditation recognizes the competence of conformity-assessment bodies, and excellence frameworks support organizational diagnosis and improvement. Major systems such as the Deming Prize, Baldrige framework, and EFQM Model differ in structure and context but commonly emphasize leadership, strategy, people, processes, stakeholders, and results.

Quality awards can provide motivation, benchmarking, credibility, and a common language. They can also encourage ceremonial compliance, gaming of measures, excessive bureaucracy, and misplaced pursuit of prestige. Responsible use requires transparent criteria, competent and impartial assessment, balanced measures, ethical governance, and a focus on learning. The central managerial lesson is that recognition should be treated as evidence and feedback within an improvement journey—not as a substitute for genuine capability.

Key Terms

Quality: The ability of a product, service, process, or organization to fulfil requirements and create value.

Inspection: Examination of output to identify conformity or nonconformity.

Quality control: Operational techniques used to fulfil quality requirements.

Quality assurance: Planned and systematic activities that provide confidence that requirements will be fulfilled.

Total Quality Management: An organization-wide philosophy emphasizing customer focus, participation, prevention, process management, and continual improvement.

Business excellence: A holistic approach to sustained organizational performance and stakeholder value.

Standard: An agreed document specifying requirements, guidance, methods, or technical criteria.

Certification: Third-party conformity assessment against specified requirements.

Accreditation: Formal recognition of the competence of a conformity-assessment body.

Quality award: Recognition granted after assessment against defined excellence criteria.

Excellence framework: A model used to assess organizational practices, capabilities, and results.

Common-cause variation: Variation inherent in a stable process system.

Special-cause variation: Variation arising from an identifiable, unusual influence.

Stakeholder: A person or group that can affect, be affected by, or perceive itself affected by an organization’s decisions or activities.

Process orientation: Management of interconnected activities that transform inputs into outputs.

Organizational learning: Change in knowledge, behaviour, systems, or assumptions resulting from experience and reflection.

Conformity: Fulfilment of a specified requirement.

Business results: Measured outcomes achieved by an organization for relevant stakeholders.

Self-assessment: Structured internal evaluation against defined criteria.

Assessor impartiality: The absence of conflicts or bias that could compromise an assessment.

Review Questions

Short Answer Questions

  1. What is the principal difference between inspection and quality assurance?
  2. Define Total Quality Management and identify two of its core principles.
  3. Distinguish certification from accreditation.
  4. Why is stakeholder focus broader than customer focus?
  5. State two possible limitations of quality awards.

Long Answer Questions

  1. Explain the historical evolution from inspection to business excellence and discuss the managerial significance of each stage.
  2. Compare awards, standards, certification, accreditation, and excellence frameworks.
  3. Discuss how the Baldrige, Deming, and EFQM approaches contribute to organizational improvement.
  4. Explain why an excellence framework should assess both organizational approaches and results.
  5. Evaluate the ethical and governance requirements of a credible quality-award system.

Analytical / Application Questions

  1. A manufacturing company has ISO 9001 certification but rising customer complaints. Using the distinctions in this chapter, diagnose why certification alone may not have improved business performance and propose an excellence-oriented response.
  2. A hospital reports excellent average waiting time, but vulnerable patients experience much longer delays. What measurement and governance changes should be introduced?
  3. An organization wants to apply for a national quality award mainly to improve its public image. Develop an evidence-based argument for or against proceeding immediately, including risks and conditions for responsible use.

Multiple Choice Questions with Answers

Question 1

Which quality approach primarily detects nonconforming output after production?

A. Inspection

B. Total Quality Management

C. Business excellence

D. Accreditation

Correct Answer: A. Inspection

Question 2

What is the main purpose of quality assurance?

A. To rank organizations publicly

B. To provide confidence that requirements will be fulfilled

C. To accredit certification bodies

D. To replace process measurement

Correct Answer: B. To provide confidence that requirements will be fulfilled

Question 3

Which statement correctly distinguishes certification from accreditation?

A. Certification recognizes assessor competence, while accreditation recognizes product quality

B. Certification is always mandatory, while accreditation is always voluntary

C. Certification assesses conformity to requirements, while accreditation recognizes the competence of conformity-assessment bodies

D. Certification and accreditation are identical terms

Correct Answer: C. Certification assesses conformity to requirements, while accreditation recognizes the competence of conformity-assessment bodies

Question 4

Which feature is most characteristic of business-excellence frameworks?

A. Assessment of only final-product defects

B. Exclusive focus on legal compliance

C. Integration of leadership, processes, stakeholders, and results

D. Replacement of all organizational standards

Correct Answer: C. Integration of leadership, processes, stakeholders, and results

Question 5

What is a major risk when an organization pursues an award mainly for prestige?

A. Improved organizational learning

B. Ceremonial compliance and manipulation of indicators

C. Greater process understanding

D. More balanced stakeholder measurement

Correct Answer: B. Ceremonial compliance and manipulation of indicators

Question 6

Which organization is most closely associated with the Deming Prize?

A. Japan

B. Canada

C. Brazil

D. South Africa

Correct Answer: A. Japan

Question 7

A certificate to a management-system standard most directly indicates that:

A. Every product is defect-free

B. The organization is the best performer in its industry

C. The audited system conforms to specified requirements within a defined scope

D. The organization has won a national quality award

Correct Answer: C. The audited system conforms to specified requirements within a defined scope

Question 8

Why should excellence results sometimes be segmented by customer group or region?

A. To hide poor aggregate performance

B. To reveal variation and inequitable outcomes that averages may conceal

C. To eliminate the need for qualitative evidence

D. To guarantee award recognition

Correct Answer: B. To reveal variation and inequitable outcomes that averages may conceal

Question 9

In the Meridian Community Hospital case, why was the award application postponed?

A. The hospital had no quality system at all

B. The hospital wanted to focus first on systemic performance and patient outcomes

C. The award body prohibited hospitals from applying

D. Certification automatically prevented an award application

Correct Answer: B. The hospital wanted to focus first on systemic performance and patient outcomes

Question 10

Which statement best describes accreditation?

A. It is recognition of the competence of a conformity-assessment body for specified activities

B. It is a customer satisfaction survey

C. It is an internal inspection of finished goods

D. It is a framework for setting product prices

Correct Answer: A. It is recognition of the competence of a conformity-assessment body for specified activities

Global Quality Awards & Frameworks
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