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In Health care system, it is not easy to explain what quality means and how it measures. No doubt, quality is an important criteria for distinction between desirable and undesirable level of health care. Today health care organizations face to new market place pursuit of quality and ability to change, have become essential. Total Quality Management(TQM) is a philosophy and a methodology that assists organizations to manage change and to set their own agenda for dealir.g with the external pressures. Transforming organizational culture is a slow process and TQM provides guidlines for transition. To be truly effective it requires organization wide and is benefits for external and internal costumers. In this article, authors describe the concept of TQM and Focus-PDCA method, and demonstrate how this strategy can be Put effectively in health care organizations.

Keywords: Quality, Total Quality A1anagement, Quality Improvement and Focus PDCA Strategy.

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