For the implementation of the proposed European standardized vaccination, total quality management (TQM) and reengineering could be powerful tools with a potentially synergistic effect. In the case examined, nonexplicit TQM prepared the organization in several ways for reengineering: providing the human capital, making people think beyond their daily tasks, and pulling the inertial professional organization in the direction of an "adhocracy." The quiet role management played, the incentive supplied by a high authority, the quick creation of solutions, and the existence of a realistic crisis represent other success factors.