It is envisioned that through this study, the chronic obstructive pulmonary disease-Integrated Care Pathway team will be able to identify potential gaps in the programme implementation and design, and implement necessary changes to improve care.
Hara will also immediately implement necessary changes.
The change facilitator had full authority, which is supported by both interviews and documentation, and acted to direct staff and implement necessary changes to enable teamwork.
If penalties involve true reductions in funding for poor performance, this might induce a vicious cycle where providers cannot generate discretionary funds (even on a once-off basis) to implement necessary changes in processes to improve their performance.
Maintaining safety, while implementing necessary changes on roadways, is an important challenge traffic engineers and researchers have to confront.
This frees us to experiment more and get feedback faster, implementing necessary changes soon after.
Implementing necessary changes requires an aggressive and entrepreneurial mindset: you must take concrete steps in order to move forward.
Separating the assessment phase undertaken by an external body from the following enforcement phase where the inspected organization is accountable for implementing necessary changes also complies with the international requirements for inspection standards [ 20].
When the other countries in international trade shifted to the low-cost production model and the Balassa Samuelson model in the 1980s, Turkey, which could not implement necessary institutional changes, fell into the "over-valued currency model," with high productivity growth of export goods compared with that of non-tradable goods.
If the country cannot implement necessary institutional changes, because of high-cost production and an over-valued currency, it will produce high inflation, lose its competitiveness, have a high trade deficit and create an economy, which is exposed to economic turmoil and large devaluations in its exchange rate.
