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The Quality improvement customer 
didn’t want!
This is a story of year 1996 !
3rd largest Medical center in the states !
a brand with 3000 employees and 
200,000 members !
QQuuaalliittyy CCaarree
TThhee Q Quuaaliltiyty C Caarree s stotorryy 
NNeeww T Teecchhnnoolologgyy 
CCrritiitcicaal li sisssuueess 
PPrroobblelemm i dideenntitfificicaatitoionn 
RReeccoommmmeennddaatitoionn 
CCoonntteennttss 
Quality Care Strategy 
Pros and Cons 
Choices ahead 
an analysis. 
The answer is ..
VVooiiccee ooff tthhee ccuussttoommeerr 
The research says the customers prefer manual 
The research says the customers prefer manual 
reception area than automated one ! 
reception area than automated one !
a Marketing apppplliiccaattiioonn :: GGAAPP mmooddeell 
GGaappss MMooddeell ooff SSeerrvviiccee QQuuaalliittyy
MMaarrkkeettiinngg aapppplliiccaattiioonn :: SSQQDD 
FFigiguurree: :S Seerrvvicicee Q Quuaaliltiyty D Dimimeennssioionn
Service eennccoouunntteerr// MMoommeenntt ooff ttrruutthh :: 
FFigig: :S Seerrvvicicee e ennccoouunnteterr c caassccaaddee f foorr Q Quuaaliltiyty C Caarree
WWhhyy QQuuaalliittyy CCaarree wwaass ssoo ssuucccceessssffuull ??
HHaappppyy CCuussttoommeerr ,, SSaattiissffiieedd eemmppllooyyeeeess QQuuaalliittyy CCaarree
DDDDiiiilllleeeemmmmmmmmaaaa ::::
Problem statement :: 
How can a company adapt technology to help 
manager to flow of information while still presenting 
a personal face to customer ? 
How can a company adapt technology to help 
manager to flow of information while still presenting 
a personal face to customer ?
CCCCoooommmmppppeeeettttiiiittttoooorrrrssss MMMMoooovvvveeee :::: 
A Asssseessssiningg t htheeirir o owwnn r reeqquuirireemmeennt.t. 
EExxaammininee o owwnn g gooaalsls a anndd t htheeirir c cuusstotommeerr’’ss d deessiriree 
UUnniqiquuee s strtreennggththss : :r raappppoorrt tw witihth t hthee c cuusstotommeerrss
CCCCuuuussssttttoooommmmeeeerrrrssss iiiinnnnccccoooonnnnvvvveeeennnniiiieeeennnncccceeee:::: 
Human touch can’t be replace by machine ! 
RRRReeeesssseeeeaaaarrrrcccchhhh oooouuuuttttccccoooommmmeeee :::: 
Customer satisfaction is not a particular problem 
for Quality Care!
AAllll tthheeyy nneeeedd iiss ....
CCCCrrrriiiittttiiiiccccaaaallll iiiissssssssuuuueeeessss :::: 
CCoosstt 
DDiiffffiiccuulltt ttoo rreevveerrssee oonnccee iitt iiss ddoonnee 
CChhaannccee ooff lloosstt ccuussttoommeerr 
CChhaannccee ooff eemmppllooyyeeee ttuurrnnoovveerr
AAnndd wwee rreeccoommmmeenndd .... WWaaiitt !! 
DDoonn’’tt 
iinnssttaallll !! 
WWhheetthheerr iitt wwoouulldd ssiiggnniiffiiccaannttllyy iimmpprroovvee ccuussttoommeerr ssaattiissffaaccttiioonn aanndd rreetteennttiioonn lleevveell ?? 
The big payoff of installing this particular system is started with “Increased 
customer retention over long run” but since no one had this type of system for very 
long, how the potential benefit in the long run is determined? 
Has the CEO calculated the cost and expected benefit in term of retention? Has CEO 
emphasis on determining the return on quality?
AAAAsssskkkk oooouuuurrrrsssseeeellllvvvveeeessss:::: 
Has the decision maker considered the factor of employee and customer education 
and implementation cost? 
The big payoff of installing this particular system is started with “Increased 
customer retention over long run” but since no one had this type of system for very 
long, how the potential benefit in the long run is determined? 
Has the CEO calculated the cost and expected benefit in term of retention? Has CEO 
emphasis on determining the return on quality? 
Has anyone thought of how this system would handle illiterate customer? or 
language barriers ? Or people with poor vision?
CChhaannggee MMiinnddsseett ::
NNooww ,, iitt iiss QQuuaalliittyy CCaarree’’ss ccaallll..
If you know the enemy and know yourself you need 
not fear - Sun Tzu
The Quality Improvement Story Customers Didn't Want

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The Quality Improvement Story Customers Didn't Want

Notas del editor

  1. He stayed back in college till 18 months after dropping out, taking only the courses that interested him. Slept on the floor ,ate from the Hare Krishna temple. He says “ It wasn’t all romantic” but one of the best decisions he ever made. Multiple typefaces and excellent typography were a result of a calligraphy course he took after dropping out. It taught him not only what he wanted to do in life, but also later on served as the origin of invention of multiple typefaces.
  2. He stayed back in college till 18 months after dropping out, taking only the courses that interested him. Slept on the floor ,ate from the Hare Krishna temple. He says “ It wasn’t all romantic” but one of the best decisions he ever made. Multiple typefaces and excellent typography were a result of a calligraphy course he took after dropping out. It taught him not only what he wanted to do in life, but also later on served as the origin of invention of multiple typefaces.
  3. He stayed back in college till 18 months after dropping out, taking only the courses that interested him. Slept on the floor ,ate from the Hare Krishna temple. He says “ It wasn’t all romantic” but one of the best decisions he ever made. Multiple typefaces and excellent typography were a result of a calligraphy course he took after dropping out. It taught him not only what he wanted to do in life, but also later on served as the origin of invention of multiple typefaces.
  4. He stayed back in college till 18 months after dropping out, taking only the courses that interested him. Slept on the floor ,ate from the Hare Krishna temple. He says “ It wasn’t all romantic” but one of the best decisions he ever made. Multiple typefaces and excellent typography were a result of a calligraphy course he took after dropping out. It taught him not only what he wanted to do in life, but also later on served as the origin of invention of multiple typefaces.