The purpose of this study was to determine the congruence among W. E. Deming's 14 points for Total Quality Management (TQM), the organizational health of school districts, and student achievement. Based on Kanter's (1983) concept of a Culture of Pride with a Climate of Success, healthy districts were defined as having an organizational culture with high levels of interconnectedness and trust among and within the various levels of the system. Unhealthy districts were defined as having an organizational culture reflecting disconnection and mistrust among and within these levels. We found a high correlation (0.88) between the number of Deming's points implemented within school districts and overall organizational health. Also found was a significant relation ( p is less than 0.01) between organizational health and student achievement. Examining the congruence for each point revealed that healthy districts integrate the TQM principles as a planful strategy rather than discretely applying them, and implement most of Deming's 14 recommendations in a process of continuous improvement. All of the high districts were found to have Constancy of purpose. The unhealthiest districts lacked defined purposes and used segmented approaches to management rather than integrated applications. The three points showing the least implementation in all districts were the principles of Drive out fear; Institute programs of training for new employees; and End the practice of administering education on price tag alone--build relationships of trust.