Deming's concepts for total quality management/continuous quality improvement are the basis for a tool occupational health nurses can apply in health program planning. 2. The program planning model provides a framework for systematically implementing, evaluating, and improving products and services. In the current business environment, this is critical to success and to demonstration of the value of occupational health services to a company. 3. A case study describing implementation of a medical case management program illustrates application of the model in a real life situation.