Total quality implementation is a goal that is highly contingent on desire primarily and ability secondly. Any organization that desires to implement tactics that will overall yield a higher level of quality can be positioned to achieve their desire after coordinating their resources to accommodate their strategy. Unfortunately, however, as is the case for many organizations, the strategy is sometimes implemented without the necessary regard for various organizational factors. Oftentimes in situations such as this, an organizations desire to achieve total quality related more to a mere “idea” than a well-planned strategy. Total quality is for healthcare organizations the hinge on which success hangs and in many ways may be the deciding factor