T he purpose of this study is to evaluate the causal relationship among health care criteria in Korean National Mental Hospitals, using Malcolm Baldrige National Quality Award(MBNQA). The survey instrument consists of 92 questions from the seven the MBNQA health care criteria. Structural Equation Modeling(SEM) is used to analyze the empirical data and estimates the path coefficients among the seven categories. T he result of this study indicates that Leadership drives Foundation and Direction, which influence on Systems that creates Results. Conclusively, among 18 hypotheses, 15 are statistically significant.