The European Foundation for Quality Management (EFQM) Model as an Exquisite Tool for the Analysis of Business Excellence and Its Use in the Healthcare Industry

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Vladimir Bukvič


The author links together business analysis as a practically oriented scientific discipline and business excellence as an ideal that all well-performing organisations wish to achieve while attaining and continuously maintaining superior levels of business performance, thus fulfilling and even exceeding the expectations of their stakeholders. The aim of his research is to present a model and to expose its usefulness as an instrumental tool for operation analysis of an organisation. Thus, he leans on the European Foundation for Quality Management (EFQM) Excellence Model and uses it as an excellent tool for analysing the business of an organisation throughout all the phases defined by traditional business analysis. The scope of the author’s research is to highlight the areas across an organisation, whereat the EFQM model can serve as a very efficient approach to measuring business performance of an organisation. This includes the observation of facts and identification of problems, which can be construed as defining the organisation’s strengths and areas for improvement. This entails setting up hypotheses and testing them by applying appropriate measures. A comparative analysis is used as a main kind of study design. In addition to that, some other special methods are used, like synthesis, method of deduction, method of induction, method of elimination. After a short introduction, the author makes first a thorough literature review on business excellence in the last two decades with an emphasis on the EFQM Model. He focuses particularly on the assessment and critical attitude of individual researchers who have studied this topic. Further, the author presents the basic concepts and elements of the EFQM model of business excellence, with a particular emphasis on the RADAR matrix (Results, Approaches, Deployment, Assessment and Refinement) as a very useful instrument (management tool) for business excellence analysis. This can also be designated as the major objective of the author’s research. Further, additional objective is to show the use of the model for analysing and assessing the business excellence of organisations in the public sector, specifically in the healthcare industry (hospitals). He presents the key attributes (select healthcare aspects) that define the quality of healthcare services for its key participants, i.e., patients and the payers of these services. These attributes, namely technical performance, interpersonal relationships, amenities and access, patient preferences, efficiency and cost effectiveness, are then highlighted by select business excellence criteria, mainly referring to the stakeholders’ perception of the organisation in question and business performance indicators. The author rounds off his paper with a couple of recommendations regarding the identification of strengths and areas for continuous improvement, which he, as a leading assessor with many years’ experience, including in the healthcare industry, considers as the most important aspect of business excellence analysis.

Keywords: business excellence, EFQM model of excellence, financial ratios, quality of healthcare services, business analysis

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How to Cite
BUKVIČ, Vladimir. The European Foundation for Quality Management (EFQM) Model as an Exquisite Tool for the Analysis of Business Excellence and Its Use in the Healthcare Industry. Medical Research Archives, [S.l.], v. 11, n. 8, aug. 2023. ISSN 2375-1924. Available at: <>. Date accessed: 13 july 2024. doi:
Research Articles



1. Pučko, D. (2006). Business Analysis. Study book. Faculty of economics University of Ljubljana.
2. Bergant, Ž. (2010). Fundamentals of business analysis. Ljubljana: Institute for managerial accounting.
3. EFQM (2019). The EFQM Model. Revised 2nd edition. Brussels. ISBN-978-90-5236-870-2.
4. Turk, I. (2010). On personal and business excellence. Economic Library. Ljubljana: Association of the economists of Slovenia.
5. Kern Pipan, K. (2010). The impact of continuous improvement and human capital on organisational business excellence (Doctoral dissertation). Faculty of Organisational Sciences Kranj University of Maribor.
6. Kovač, P. (2006). The development of quality and excellence as a common denominator of reforms in the public sector in Europe. Professional material. GV - EFQM conference. Winners Conference and SFPO Forum 2006. Professional material. Ljubljana: Planet GV.
7. Gomišček, B., Maletič, D. & Maletič, M. (2007). Review of the situation in the field of quality management in Slovenian organisations. Proceedings of the 26th International Conference on the Development of Organisational Sciences. Portorož: Creative organisation.
8. MIRS 2. (2007). Fundamental principles of excellence. Ljubljana: Ministry of Education, Science and Sports. Office of the Republic of Slovenia for Metrology.
9. Marolt, J. & Gomišček, B. (2005). Total Quality Management. Moderna organizacija. Kranj: Faculty of organisational studies University of Maribor.
10. Bajc, Z. (2008). Krka on the path of excellence to success. 20th Forum of Excellence and Mastery. Otočec 2008. Conference of EFQM winners and SFPO forum. "Universal excellence as a new paradigm of successful cooperation between countries and as motivation for a healthy life and successful work." Proceedings. Association of Economists of Dolenjska and Bela Krajina, Novo mesto.
11. MIRS 1. (2007). EFQM Excellence Model. Ljubljana: Ministry of Education, Science and Sports. Office of the Republic of Slovenia for Metrology.
12. MIRS 3. (2013). EFQM Excellence Model. EFQM Publications. Shares what works. Ljubljana: Republic of Slovenia Ministry of Economic Development and Technology. Bureau of Metrology.
13. Samson, D. & Challis, D. (2002). Patterns of business excellence. Measuring Business Excellence, 6 (2), 15-21.
14. Rusjan, B. (2006). Usefulness of the EFQM excellence model: Theoretical explanation of some conceptual and methodological issues. Total Quality Management & Business Excellence, 16(3), 363-380.
15. Kim, D. Y., Kumar, V. & Murphy S. A. (2010). European Foundation fro Quality Management Business Excellence Model: An integrative review and research agenda. International Journal of Quality & Reliability Management, 27(6), 684-701.
16. Asif, M., Searcy, C., Garvare, R. & Ahmad, N. (2011). Including sustainability in business excellence models. Total Quality Management & Business Excellence, 22(7), 773-786.
17. Asif, M. & Gouthier, M. H. J. (2014). What services excellence can learn from business excellence models. Total Quality Management & Business Excellece, 25(5-6), 511-531.
18. Escrig, A. B. & de Menezes, L. M. (2015). What characterizes leading companies within business excellence models? An analysis of “EFQM Recognized for excellence” recipients in Spain. International Journal of Production Economics, 169, 362-375.
19. Metaxas, I. N. & Koulouriotis, D. E. (2017). Business excellence measurment: a literature analysis (1990-2016). Total Quality Management & Business Excellence, 30(11-12), 1189-1218.
20. Ahn, J. S., Assaf, A. G., Josassen, A., Baker, M. A., Lee, S., Kock, F. & Tsionas, G. (2020). Narcistic CEOs and corporate social responsibility: Does the role of an outside board of directors matter? International Journal of Hospitality Management, 85. 21. Fonseca, L. (2021). The EFQM 2020 model. A Theoretical and critical review. Total Quality Management & Business Excellence, 33(9-10), 100-1038.
22. Harris, E. (2021). What Is the EFQM Excellence Model and How Useful is it For You. Triaster Ltd. (
23. Kanji, G. K. (2008). Architecture of business excellence in the public and service sectors. Total Quality Management & Business Excellence, 19(49), 399-415.
24. Naylor, G. (1999). Using the Business Excellence Model to develop a strategy for a healthcare organisation. International Journal of Health Care Quality Assurance, 12(2), 37-45.
25. Jackson, S. (1999). Achieving a culture of continuous improvement by adopting the principles of self-assessment and business excellence. International Journal of Health Care Quality Assurance, 12(2), 59-64.
26. Ruiz, U., Simon, J., Molina, P., Jimenez, J. & Grandal, J. (1999). A two-level integrated approach to self-assessment in healthcare organisations. International Journal of Health Care Quality Assurance, 12(4), 135-142.
27. Kovač, B. (2002). Dimensions and challenges in management. In S. Možina, et al., Management: new knowledge for success (pp. 803-880). Radovljica: Didakta publishing house.
28. Calingo, L. M. R. (2002). National Quality and Business Excellence Awards: Mapping the Field and Prospects for Asia: Report of the Symposium on Quality and Business Excellence Awards held in Nadi, Fiji from 18 to 20 September 2001. ISBN: 92-833-2332-7. Asian Productivity Organization. Fiji. Pp. 3-23.
29. Assessment application document of the organisation X for PRSPO, Award of the Republic of Slovenia for Business Excellence for the year 2014 (accessible onyl with the agreement of the Organisation X).
30. Ransom, E. R., Joshi, M. S., Nash, D. B. & Ransom, S. B. (2008). The Healthcare Quality Book: Vision, Strategy, and Tools, 2nd Edition, Health Administration Press; 2 edition.
31. Donabedian, A. (1988). The Quality of Care. How Can It Be Assessed? JAMA, 260(12).
32. Cassell, E. J. (1982). The Nature of suffering and the goals of medicine. PubMed. US National Library of Medicine. National Institutes of Health, 306 (11), 639-45.
33. Donabedian, A. (1980). Explorations in quality assessment and monitoring. Vol. I. The definition of quality and approaches to its assessment. Ann Arbor. Health Administration Press.
34. Wyszewianski, L. (1988). The Emphasis on Measurement in Quality Assurance: Reasons and Implications. Inquiry 25 (winter): 424-33. PubMed. US National Library of Medicine. National Institutes of Health.
35. Arrow, K. J. (1985). The Economics of Agency. V J. W. Prat in R. J. Zeckhauser, Principals and Agents: The Structure of Business (str. 37-51). Boston: Harvard Business School Press.
36. Donabedian, A. (2003). An Introduction to Quality Assurance in Health Care. Oxford University Press.
37. Wolfe (2021). IOM 2021. Institute of medicine 2001 patient centered care: Crossing the Quality Chasm: A New Health Care System for the 21st Century. Wolfe, A.
38. Donabedian, A., Wheeler, JR. & Wyszewianski, L. (1982). Quality, cost, and health: an integrative model. Med Care, 20 (10), 975-92.
39. Bergant, Ž. (1998). Financial ratios and quality indicators. Ljubljana: ITEO.
40. Code of Business and Financial Principles (1998). Slovenian Institute for Auditing, paragraph 1.2.
41. Bukvič, V. (2009). Value Based Management with an empirical case. Proceedings. 1st International Scientific Conference Knowledge and Business Challenges of Globalisation in 2009. Celje: FKPV (full paper is recorded on CD).
42. Bukvič, V. (2011). Professional foundations of general principles of organizing (preparation for implementation) accounting for internal reporting. In: Bergant, Ž. (ed.). General principles of internal reporting. Proceedings. Ljubljana: Association of Economists of Slovenia, p. 171-205.
43. Bergant, Ž. (2015). Social Responsibility and Corporate's Solvency. Proceedings 11th. International Conference Social Responsibility and Time Challenges. Maribor: Institute for Development of Social Responsibility.