Six Sigma is a data-driven management system with near-perfect performance that is a statistical target of operating with no more that defects per one million chances. Six sigma has both created avid interest and raised concerns among executives and its practioners. This is all very well for multinationals like Motorola or General Electric but how can it help small and medium-sized enterprises or the service industry? How do you ensure that solutions stick? Quality Beyond Six Sigma responds to this challenge and provides a practical implementation of the issues of Six Sigma, Lean Enterprise and Total Quality and aligns.