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The staff noted fewer known enablers, leaving out a need for clinical and management leadership, prior experience, lean competence, alignment to overall goals, a holistic approach and adaption.
Classical enablers for quality improvement by lean were left out, such as the need for competence, alignment, adaption, process-orientation, and physicians and management engagement.
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You should assess management along two dimensions: competence and alignment of incentives.
They did not mention a need for prior experience, competence or alignment, all of which are contextual enablers.
Ideally, the ministry of health in each country should take responsibility for creating and enforcing a minimum level of HIS task competence in alignment with the promotion of a culture of information and a supportive environment that provides adequate training and supervision.
We assessed the curricula from two perspectives; the quality of the curricula in terms of alignment with competence based format and the quality in terms of FP content in particular.
Alignment of competences and activities of suitable technology partners to realize actual product development is still difficult.
Alignment with cultural competence principles and use of a community participatory approach enhanced the level of community engagement and cultural relevance of the Teeth Tales study.
Purchasing competence, the level of strategic integration and alignment, is a key determinant of the purchasing function's impact on overall corporate success.
In this paper, we describe one such set of architectural principles – activation dynamics over a developmental distributed associative substrate – and show how this enables an account of a fundamental competence for social cognition: multi-modal behavioural alignment.
This included issues of political instability, government instability, structure, capacity and alignment within government sectors, and competence of government employees.
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