In many settings, high performance demands both the initiative and effort that accompany decentralization and the extensive coordination and consistency that accompany centralization.
The analysis results showed that the top five significant constraints were "extensive coordination required prior to and during construction", "need for additional project planning and design efforts", "increased transportation and logistics considerations", "requirement for early commitment", and "higher initial cost than conventional construction method".
Implementing blockchain requires extensive coordination and trust in the network, the authors of the report found.
The sheer number of concurrent system initiatives addressing the redesign of care requires extensive coordination and collaboration.
Because they require extensive coordination, often in advance of international negotiations, these agreements would do a better job than treaties of forging a bipartisan climate policy.
Similar statewide coordination efforts are underway in Michigan, Connecticut, California and Wisconsin.
Part of this funding must be earmarked for community asset-mapping and service coordination efforts.
The federal response required extensive coordination and involved a broad range of scientists and experts from across, as well as outside, the federal government.
Conversely, coordination efforts have benefited from relatively stable, albeit increasingly complex, coordination environments in Mozambique, Zambia and Peru.
They also deal with extensive coordination of care, including symptom management, disability, mobility, and dressings.
In emergencies where the Cluster approach is applied, UNICEF is requested to lead national coordination efforts.
