Total quality management is a system that makes quality the responsibility of all clinicians and administrators throughout the health care organization. In TQM, systems are established to prevent clinical and administrative problems, increase patient satisfaction, continuously improve the organization’s processes, and provide healthcare services as good, or better, then those of the competitors. Customer focus, error prevention, employee participation, teamwork, systemization, leadership and continuous quality improvement are TQM universal management concepts that can be transferred to any business setting. TQM uses quality as the fundamental measurement metric, continuous improvement as the philosophy and employee involvement as the approach. Therefore, TQM programs in healthcare can be measured, without the need for a deep knowledge of the industry unique circumstances.