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Article
Publication date: 1 June 2001

Linking QS‐9000 to quality performance outcomes

Dana M. Johnson

Although many suppliers in the automotive industry have obtained quality system requirements, QS‐9000 registration/certification, there does not appear to be a direct link…

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Abstract

Although many suppliers in the automotive industry have obtained quality system requirements, QS‐9000 registration/certification, there does not appear to be a direct link to all operational performance outcomes. As companies improve their quality performance as measured by parts per million, other areas such as delivery performance are experiencing missed deadlines. Organizational factors play a key role in long‐term QS‐9000 success change efforts. This presentation summarizes the results from an empirical study of Johnson Controls, a major Tier 1 supplier, and their key suppliers in the USA and Canada who participated. Although the results focus on QS‐9000, some of the theories and practical application could apply to any company desiring registration or compliance to a quality standard.

Details

The TQM Magazine, vol. 13 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/09544780110385519
ISSN: 0954-478X

Keywords

  • Quality management
  • Standards
  • Performance

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Article
Publication date: 5 September 2016

Perceptions of care quality and the effect on patient satisfaction

Dana M. Johnson, Roberta S. Russell and Sheneeta W. White

This research models the impact of patient perceptions of care quality on overall patient satisfaction in a rural healthcare organization over a three-year time period…

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Abstract

Purpose

This research models the impact of patient perceptions of care quality on overall patient satisfaction in a rural healthcare organization over a three-year time period. The purpose of this paper is to determine if the factors that influence perceptions of service quality change over time and if the change affects overall patient satisfaction.

Design/methodology/approach

Data were collected for three fiscal years (2012-2014) using a 36-question, Likert-scaled attitudinal survey. Multiple regression analysis was performed to identify which constructs of five different service quality dimensions were statistically significant in predicting overall patient satisfaction. Paired comparison of means and ANOVA F-tests highlighted significant differences across years and demographics.

Findings

Multiple regression models of overall patient satisfaction over a three-year time period had significant repeat variables, indicating salience of the dimensions and constructs of service quality that predict patient satisfaction. However, some dimensions of service quality did not remain significant from one year to another, indicating there may be a gap in the patient service cycle over an extended time frame.

Originality/value

This paper explored the sequential relationship between patient satisfaction survey data and perceptions of service quality over a multi-year time frame. The research focussed on outpatient medical clinics, while the majority of previous studies have focussed on acute care or inpatient stays. A longitudinal study is especially relevant for outpatient clinics where continuity of care is important.

Details

International Journal of Quality & Reliability Management, vol. 33 no. 8
Type: Research Article
DOI: https://doi.org/10.1108/IJQRM-08-2015-0121
ISSN: 0265-671X

Keywords

  • Patient satisfaction
  • Healthcare quality
  • Multi-year case study

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Article
Publication date: 1 October 2018

A multi-year SEM model predicting the impact of behavior attributes on overall patient satisfaction

Quinton Nottingham, Dana M. Johnson and Roberta Russell

Pressure from competition; inflexible third-party reimbursements; greater demand from government, regulatory and certifying agencies; discerning patients; and the quest of…

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Abstract

Purpose

Pressure from competition; inflexible third-party reimbursements; greater demand from government, regulatory and certifying agencies; discerning patients; and the quest of healthcare entities for greater profitably place demands and high expectations for service quality impacting overall patient experience. Extending a prior multivariate, single-period model of varied medical practices predicting patient experience to a three-year time period to understand whether there was a change in overall assessment using data analytics. The paper aims to discuss these issues.

Design/methodology/approach

SEM was employed on a per year and aggregated, three-year basis to gain insights into qualitative psychometric constructs predicting overall patient experience and strength of the relationships.

Findings

Statistically significant differences were uncovered between years indicating the strength of the relationships of latent variables on overall performance.

Research limitations/implications

Study focused on data gathered from a questionnaire mailed to patients who visited various outpatient medical clinics in a rural community with over 4,000 responses during the three-year study period. A higher percentage of female respondents over the age of 45 may limit the generalizability of the findings.

Practical implications

Practitioners can gain a broader understanding of different factors influencing overall patient experience. Administrative processes associated with the primary care provider are inconsequential. Patients are not as concerned with patient flow as they are with patient safety and health.

Originality/value

This research informs healthcare quality management of psychometrics and analytics to improve the overall patient experience in outpatient medical clinics.

Details

International Journal of Quality & Reliability Management, vol. 35 no. 9
Type: Research Article
DOI: https://doi.org/10.1108/IJQRM-02-2018-0031
ISSN: 0265-671X

Keywords

  • Service quality
  • Patient experience
  • Medical clinics
  • Outpatient
  • Patient satisfaction surveys
  • SEM analytics

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Article
Publication date: 1 May 2001

Lessons learned from industry: applying capacity planning in an institution for higher education

Dana M. Johnson

Outlines previous research on capacity planning and considers how the underlying ideas can be applied to higher education institutions (HEIs). Illustrates the components…

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Abstract

Outlines previous research on capacity planning and considers how the underlying ideas can be applied to higher education institutions (HEIs). Illustrates the components of operational and capacity plans for an HEI, pointing out the differences from and similarities to the manufacturing and service sectors; and discusses various components of the capacity plan (e.g. classroom utilization, enrolment, scheduling etc.) in more detail. Believes that this approach to resources would improve on the present US system where external pressures (e.g. politicians, donors etc.) rather than need may determine expansion, but recognizes the practical barriers to this and calls for further research.

Details

Managerial Finance, vol. 27 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/03074350110767178
ISSN: 0307-4358

Keywords

  • Capacity planning
  • Higher education
  • Capacity management
  • USA

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Article
Publication date: 1 September 2005

Integrated strategy of industrial product suppliers: Working with B2B intermediaries

Mark A. Johnson and Dana M. Johnson

The primary purpose was to learn about different variables of an integrated strategy associated with choosing to supply through business‐to‐business (B2B) intermediaries…

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Abstract

Purpose

The primary purpose was to learn about different variables of an integrated strategy associated with choosing to supply through business‐to‐business (B2B) intermediaries and apply the variables to a series of cases.

Design/methodology/approach

A literature review served as a basis to develop an integrated model. A combination of primary and secondary research was conducted to apply the concepts of the model to different internet trading exchanges.

Findings

Each trade exchange offers a different set of customers and suppliers vying for business opportunities. There are no common platforms for software and hardware. If a small company is interested in trading through an internet exchange, they want to select based on the variables identified that best meet their needs and integrate with their business strategy.

Research limitations/implications

The focus was on industrial products and may not be applicable to consumer products.

Practical implications

Suppliers must carefully operate in the future by evaluating each customer and determining which trade exchanges will provide them with the greatest benefit at the lowest cost. The infrastructure investment is an unavoidable cost that cannot be forgone unless the supplier wants to discontinue providing to most of its customers. The supplier needs to look at all aspects identified in the integrated business model and the foundation and facilitation for success lie in the information management of the entire entity.

Originality/value

This paper takes the existing body of knowledge and applies it to the development of an integrated e‐business model for industrial suppliers used to compare different internet trading exchanges.

Details

Internet Research, vol. 15 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/10662240510615209
ISSN: 1066-2243

Keywords

  • Automotive industry
  • Electronic commerce
  • Intermediaries

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Article
Publication date: 4 September 2007

Integrating multiple manufacturing initiatives: challenge for automotive suppliers

Dana M. Johnson, Jichao Sun and Mark A. Johnson

The primary purpose of the research was to determine whether automotive manufacturers integrate multiple manufacturing initiatives and whether performance measures were…

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Abstract

Purpose

The primary purpose of the research was to determine whether automotive manufacturers integrate multiple manufacturing initiatives and whether performance measures were impacted directly by these initiatives.

Design/methodology/approach

A mail survey questionnaire was used to gather data about the attitudinal attributes associated with implementing multiple manufacturing initiatives (i.e. ISO 9001, ISO 14001, lean manufacturing) and changes in key performance measures, both financial and nonfinancial. Descriptive statistics were utilized to gain a better understanding of the level of implementation of specific initiatives. Different forms of regression analysis were used to try to locate a statistically significant predictive model.

Findings

Two surveys of automotive suppliers were conducted during early summer 2001 and 2002 to gather information about multiple initiatives, customer mandates, and performance measurement. The results indicate that suppliers are not integrating the initiatives or linking them to financial and/or nonfinancial performance measurements. It was intended to develop a predictive model linking the implementation of multiple manufacturing initiatives and the impact on changing in performance measures. No statistically significant model was discovered. However, and not surprisingly, the level of implementation of different initiatives varies from one organization to another.

Research limitations/implications

The size of the sample could pose a limitation in terms of generalizabiity. Also, this study was applied to specifically to the automotive supply parts industry and it could be applicable to other manufacturing supply chains.

Practical implications

Automotive industry suppliers have been faced with multiple, mandated requirements from the original equipment manufacturers. Continuing pressures to reduce price, improve quality, while producing an environmental friendly product using lean manufacturing practices has placed a financial strain on suppliers operating with thin profit margins. Are these initiatives being integrated into the overall business strategy and what impact are they having on performance measures? Based on the research, it did not appear to be well integrated. Additionally, a comparative analysis was conducted to note differences between senior management and middle management/professional staff. It was not surprising to find that senior management has higher expectations and opinions regarding implementation levels and performance.

Originality/value

The information in this study is particularly useful to manufacturers or others implementing standards or methodologies and to understand whether there is a direct impact on performance measurements.

Details

Measuring Business Excellence, vol. 11 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/13683040710820746
ISSN: 1368-3047

Keywords

  • Quality management
  • Environmental management
  • Lean production
  • Integration
  • Performance measures
  • Automotive industry

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Article
Publication date: 1 September 2006

Classification and application of problem solving quality tools: A manufacturing case study

Catherine Hagemeyer, John K. Gershenson and Dana M. Johnson

The complexity of problem solving requires use of quality tools to assist in the organization and analysis of information and data surrounding the concern. A proposed…

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Abstract

Purpose

The complexity of problem solving requires use of quality tools to assist in the organization and analysis of information and data surrounding the concern. A proposed classification scheme for problem‐solving tools allows the user to identify the correct tool at the proper time in the problem‐solving process. This may assist the problem solver to efficiently and effectively work toward problem solution. The classification scheme, in the form of a matrix, identifies, organizes, and defines tools of the six sigma problem‐solving process as taught and implemented at a large manufacturing company.

Design/methodology/approach

Development of a problem‐solving matrix to enable more efficient and effective use of tools applied to a six sigma project in a large manufacturing company.

Findings

The application of the methodology to a case study in a large manufacturing company related to an Air Conditioning (A/C) No Fill concern. The exercise of applying the six sigma tools matrix to this project would have been improved if conducted at the beginning of the six sigma Belt training and start of the A/C No Fill project.

Research limitations/implications

Since, the matrix was not fully completed at the start of either the training or the project, the team was unable to begin using the developed matrix until midway through both. This posed some limitations in judging the efficiency and effectiveness of the matrix. Although it is believed that both were improved, the maximum benefit may not have been achieved because of timing in application. Future application of the matrix should commence at the beginning of the project to enable maximum results for more efficient and effective problem solving and identification of proposed solution.

Practical implications

Manufacturing and service organizations can improve their problem‐solving methodology by using the approach outlined in this paper. It will enable companies to better “match” the tools necessary to solve real‐life business problems.

Originality/value

Although this approach uses existing quality management and problem‐solving tools, its novel application in the development of a more thorough approach to problem solving, aided by the classification of problem‐solving tools may enable companies to more successfully and expeditiously reach proposed solutions.

Details

The TQM Magazine, vol. 18 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/09544780610685458
ISSN: 0954-478X

Keywords

  • Six sigma
  • Quality systems

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Article
Publication date: 3 August 2015

Patient perceptions of quality: analyzing patient satisfaction surveys

Roberta S. Russell, Dana M. Johnson and Sheneeta W White

Healthcare facilities are entering an era of increased oversight and heightened expectations concerning both reduced costs and measureable quality. The US Affordable Care…

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Abstract

Purpose

Healthcare facilities are entering an era of increased oversight and heightened expectations concerning both reduced costs and measureable quality. The US Affordable Care Act requires healthcare organizations to collect certain metrics, including patient assessments of quality, in order to monitor and improve the quality of healthcare. These metrics are used as a basis for graduated insurance reimbursements, and are available to consumers as an aid in selecting healthcare providers and insurance plans. The purpose of this paper is to provide healthcare providers with the analytic capabilities to better understand quality of care from the patient’s point of view.

Design/methodology/approach

This research examines patient satisfaction data from a multi-specialty Medical Practice Group, and uses regression analysis and paired comparisons to provide insight into patient perceptions of care quality.

Findings

Results show that variables related to Access, Moving Through the Visit, Nurse/Assistant, Care Provider and Personal Issues significantly impact overall assessments of care quality. In addition, while gender and type of care provider do not appear to have an impact on overall patient satisfaction, significant differences do exist based on age group, specialty of the physician and clinic type.

Originality/value

This study differs from most academic research as it focusses on medical practices, rather than hospitals, and includes multiple clinic types, medical specialties and physician types in the analysis. The study demonstrates how analytics and patient perceptions of quality can inform policy decisions.

Details

International Journal of Operations & Production Management, vol. 35 no. 8
Type: Research Article
DOI: https://doi.org/10.1108/IJOPM-02-2014-0074
ISSN: 0144-3577

Keywords

  • Quality
  • Regression
  • Healthcare
  • Analytics
  • ACA
  • Patient satisfaction surveys

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Article
Publication date: 1 February 2004

Adaptation of organizational change models to the implementation of quality standard requirements

Dana M. Johnson

Companies pursuing certification to quality standards must apply change methodologies to institutionalize the requirements into the business. Existing change models, such…

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Abstract

Companies pursuing certification to quality standards must apply change methodologies to institutionalize the requirements into the business. Existing change models, such as Burke‐Litwin, can serve as the foundation for identifying underlying, predictive variables impacting response variables of a quality management system including quality and delivery performance. The models were selected based on their applicability and similarity in integration of organizational variables with great similarities to those of a typical quality management system. Adaptation of change models specifically to quality management standards provides the conceptual framework in which businesses can operate. The discussion reviews quality management standards, organizational change and models, and change management in pursuit of certification. A conceptual model was developed and serves as the foundation for empirical research efforts. This bridges the gap between organizational change models and quality management systems.

Details

International Journal of Quality & Reliability Management, vol. 21 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/02656710410516961
ISSN: 0265-671X

Keywords

  • Quality standards
  • Organizational change
  • Change management

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Article
Publication date: 5 December 2019

Managing negative word-of-mouth: the interplay between locus of causality and social presence

Yi He, Ilyoung Ju, Qimei Chen, Dana L. Alden, Hong Zhu and Kaiyuan Xi

This paper aims to describe the results of four studies that examine the interaction effects between locus of causality and social presence on consumers’ emotional…

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Abstract

Purpose

This paper aims to describe the results of four studies that examine the interaction effects between locus of causality and social presence on consumers’ emotional response to a service failure and how they subsequently cope with the negative emotional experiences through support-seeking or vindictive negative word-of-mouth (NWOM).

Design/methodology/approach

To evaluate the research hypotheses, one online content analysis study and three experiments were conducted.

Findings

The results of the four studies show that when locus of causality information is not available (Studies 1 and 2), consumers are more likely to engage in support-seeking NWOM when there is social presence (versus no social presence). When a service failure is externally/internally attributed, social presence leads to less/more vindictive NWOM (Studies 3 and 4). The results clarify the underlying affective processes (frustration, anger and embarrassment) that account for the unique interaction effects involving locus of causality and social presence on NWOM.

Originality/value

Despite promising progress in both social presence and service failure research, scholarly attempts aiming to draw the theoretical linkages between these two streams are relatively scarce, and it remains unknown regarding whether and how social presence influences NWOM in the event of service failure. Against this backdrop, this research examines the effects of social presence on consumer NWOM in service failure. The authors further contribute to both research streams by testing the effects of an important set of emotions as mediators, as well by exploring the conditions under which a particular emotion is more predictive of its corresponding outcomes. These findings offer important insights that help service managers effectively mitigate customer NWOM at the point of service delivery.

Details

Journal of Services Marketing, vol. 34 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/JSM-03-2019-0117
ISSN: 0887-6045

Keywords

  • Emotion
  • Complaints
  • Service recovery
  • Service failures
  • Word-of-mouth
  • Servicescape

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