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Sanglah General Hospital Denpasar continues to develop health services to meet the standards of the Joint Commission International (JCI), in 2013 was JCI accredited. Triennial JCI Accreditation Survey in March 2016, the findings were obtained more than the implementation of accreditation in 2013. The findings show that the leadership of Sanglah General Hospital has made policies to underlie the application of JCI accreditation standards (transformation of work culture). However, the implementation in the field is still not appropriate. Most public services in health, especially hospitals in Indonesia, are still oriented to the organization and internal personal organization that causes patient dissatisfaction with the services provided.1 Employees who have high performance can support achieving goals and objectives set by an organization to improve employee performance is the primary concern of the leadership.2 Leadership style has a positive and significant effect on employee performance, and leadership style has a dominant influence on employee performance.3 One effort to improve employee performance is with organizational commitment.4 The level of leadership effectiveness can encourage and develop an organizational commitment to individuals.4 The application of good and effective leadership makes the level of employee loyalty increase and positively impacts the organizational commitment of employees. Employees who are committed to their work will have high performance.5 Based on the results of previous studies related to transformational leadership, organizational commitment, TQM, and its relationship with employee performance, no one has conducted analytical research on the association of transformational leadership, organizational commitment, and TQM to employee performance, especially in a government hospital institution with public service agency which is trying to improve the quality of ABSTRACT

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Association between transformational leadership, organizational commitments, and application of Total Quality Management (TQM) to employee performance in Sanglah General Hospital, Bali, Indonesia