The document discusses the eight elements of Total Quality Management (TQM). It describes the elements as: 1) Ethics, 2) Integrity, 3) Trust, 4) Training, 5) Teamwork, 6) Leadership, 7) Communication, and 8) Recognition. These elements can be divided into four groups: foundation, building blocks, binding mortar, and roof. The foundation includes ethics, integrity and trust. The building blocks are training, teamwork and leadership. Communication binds the elements together. Recognition forms the roof of the TQM system. Effective implementation of all eight elements is necessary for organizational success with TQM.