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Public administration (PA) as an area of academic study and intellectual pursuit has long suffered from a lack of distinctiveness. While there is benefit inside struggle, and acknowledging that the field has advanced, there is progress remaining to be made. Focusing on the development of a skill base among Public Administrators that adds value to current vocational settings and positions the practitioner to be professionally lithe (through skills that are transferable to other public settings, quasipublic settings, and private industry) is personally and professionally healthy. To this end, mastery of statistical process control, process improvement, lean service/manufacturing, six sigma, and project management will optimally position the PA practitioner to add organizational value while concomitantly maximizing vocational flexibility

W. Edwards Deming was revered as a technical genius in the areas of mathematics, statistics, and statistical variation. Though largely known for his professional achievements, the core of Deming was his quality of character. He was raised by his parents under austere conditions in the heartland of the USA. The values ingrained in him by his parents included spiritual beliefs, a love of learning, devotion to family, commit‐ment to friends, and a strong work ethic. With an intense loyalty and love for his wife and children, he balanced his life so that family remained a priority. An accomplished writer of music, a grammarian, and a person with spiritual interests, Deming was much more than a public figure recognized as an icon of the “quality” movement.

The stimulus for this research is that as US hospitals and health care organizations become more competitive, wise investments in technology and quality improvement are keys to financial success and survival. A structural equation model is hypothesized using the following five constructs: clinical technology; information technology; clinical quality; process quality; and hospital financial performance. No research to date has examined the relationships between the type of technology, the type of quality, and hospital financial performance. The general research hypothesis tested is that hospital technology directly drives (affects) quality and hospital financial performance. The results indicate that the type of hospital technology (clinical or information) drives different types of quality‐related performance (clinical or process), and directly and indirectly affects hospital financial performance. The simple recursive model documented here is an important first step to defining more complete models that accurately predict hospital financial performance as a function of technology and quality investments and initiatives. The article concludes by summarizing results, discussing their implications, and proposing future research ideas.