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While upstream work (data and evidence, system design, policy, planning) is necessary for programming and programme implementation, involvement in downstream work and links with implementers will often provide the knowledge, experience, trust and credibility to enable effective participation in the upstream processes.
It is probable that CDS implementers will need to address workflow design changes, and these will broaden the scope of the project substantially.
Stated otherwise, innovators agree to give implementers access and a fair license to their most groundbreaking technologies because innovators believe that implementers will reciprocally later agree to take a license in good faith for using those highly valuable innovations.
Additionally, project implementers will be able to build on previous experience.
Together, implementers will exchange lessons learned on building the capacity of local prevention, treatment, and care programs, maintaining quality control, and coordinating efforts.
Clinicians themselves will be interested in measures of their own clinical patterns, implementers will be interested in how well the CDS is working, and administrators and quality assurance staff will desire measures of safety such as those required by accrediting bodies.
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Effective implementation will require an educated and engaged community, knowledgeable and experienced health professionals, and the leadership of program implementers and policy makers all working together.
Recognizing the critical need for sustainability, efficiency and effectiveness, and a renewed focus on prevention, participants of the 2009 Implementers' Meeting will draw upon the best practices and lessons learned presented at the conference to inform HIV/AIDS program implementation in the upcoming year.
The leader who is a tenacious implementer of change will always follow-up on the initiatives started.
We have demonstrated GP can automatically explore around current implementations, nevertheless we hope future software designers, implementers and PhD students, will have tools which can explore potential trade-offs before implementation starts [ 21].
The FCTC's designers claim that the treaty represents a "paradigm shift" in developing strategies to address tobacco, but what kinds of obstacles will the implementers confront?
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