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Provincial HIV managers belonged to separate management structures and discussed HIV data during HIV programme meetings (often including district-based HIV managers but excluding district horizontal managers).
Clinical educators are often disconnected from curriculum management structures and so care should be taken by curriculum managers to maintain timely updates of appropriate information, to involve tutors in bidirectional quality feedback loops and to offer personal development opportunities.
"The answer is we will stop talking about management structures and start talking about care".
But can Gore campaign on a platform of non-hierarchical management structures and access to the information flow?
The leaked transition risk register gave odds of four to one that "dismantling the current management structures and controls [causes] more failures".
One participant said that "everyone can use IT now", and that the only barriers are internal management structures and existing contracts.
However, the group has previously said that the changes were intended to simplify store management structures and lift the number of staff serving at its fresh food counters.
The shift has made Indian outsourcing offices look a lot like companies in the West, complete with leadership training, complicated management structures and 360-degree feedback.
Tufekci suggests that the movements that succeed are actually proto-institutional: highly organized; strategically flexible, due to sinewy management structures; and chummy with the sorts of people we now call élites.
The language is of 'social businesses' with citizen engagement, lean management structures and greater reliance on the experience and skills of those at sharp end — ideas that will shape undoubtedly shape the thinking of any incoming Tory government.
It awarded the trust lowest marks for risk management, labour relations and information technology, warning: "We found serious concerns that question the ability of management structures and systems to improve care".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com