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Step 6 is about implementation, engaging with stakeholders.
While intensive work with providers plays a big part in implementation, engaging clients is also key.
In the light of this experience, the MoH aimed to own the process through to implementation, engaging local health planners and allowing them to "learn by doing".
As seen in Table 3, which contains the parameter estimates of the multivariable models for each of the six performance measures, after controlling for covariates, we still found that hospitals with high levels of HIT implementation, engaged in significantly greater numbers of HIT-related QI practices and strategies (p = 0.003 for differences in adjusted means).
The external evaluation team, originally contracted to evaluate the EPR system implementation, remained engaged during this post-implementation period with one member now acting as a participant researcher within the ALG.
The following concepts must be addressed during the implementation process: engaging the patient; making changes and managing change; implementing rapidly and supporting extensively; and encouraging the practice.
The work discussed in this paper aims at enabling a mass customisation and personalisation implementation, by engaging the customer in the design of unique products and by enabling the Original Equipment Manufacturers (OEMs) to efficiently plan manufacturing and transportation activities of highly customised products by exploiting an innovative decentralised manufacturing approach.
With RCH-II and NRHM, India is making a push to overcome past obstacles, to highlight maternal mortality as a priority issue, bring resources to bear on pivotal well defined high impact strategies, and strengthen local implementation by engaging communities as active participants and partners.
(An early, unposted Statement of Purpose recommends "pragmatic implementation strategies that engage concerned parties before they coalesce into opposition").
During the implementation phase, we engage practices on site in their improvement efforts and via formal educational opportunities that we deliver at regional quarterly dinner meetings.
The evidence suggests that active implementation strategies that engage the target population are more effective than passive strategies at changing clinician behaviour and improving prophylaxis rates [ 15, 17, 19].
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