Introduction: Quality has a sixty years old historical heritage in health care establishment. Most countries use organizational superiority models an approach to execute total quality management, which in turn would lead to improved work performance and drastic change in organizations. The present study is to view the organizational superiority model in selected countries and come up with a model for Iran.

Methods: This cross-sectional comparative study was conducted in 1381-82 (Iranian calendar) 2003- 2004, in order to design a superiority model of organization for Iranian Health care sector. Data collection was done in two stages using a questionnaire. The validity and reliability of the questionnaires was evaluated by comparing the superiority model of organizations in America, England, Canada, and Australia a suitable model was designed for Iran. This model was put in to test by 25 experts using Delfi model, and then the final model was eventually ready to be presented.

Findings: The highest score in American model was given to the role of "leadership" in English model to "client, feed back" and in Australian model to "leader ship and innovation" and in Canadian model to "employee focus". The main criteria in the final model after applying Delfi test were: leadership, Strategic planning, "client approach, corporate culture, data analysis, Processes, resources and organizational performance. 

Results: Strengthening administrators, enriching corporate culture, promoting creativity and learning, rendering services based on need assessment and client's expectations, along with the client's satisfaction should be taken into consideration.