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The court agreed with the plaintiffs that "systemwide" changes were needed at the V.A., especially given the rising flood of veterans returning from Iraq and Afghanistan.
The administration's central education program, known as Race to the Top, invited states to compete for federal money by proposing systemwide changes for schools.
"NSQIP has the power to let us examine complications and outcomes on a large scale, drill down and make systemwide changes, then see their effects".
Michael Snyder and his colleagues took billions of measurements of 23 study participants and found that changes in weight resulted in dramatic, systemwide changes throughout the body.
But that compassion dries up quickly when the conversation turns to systemwide changes, such as flexible hours, capped workweeks or teleworking — things that would help working parents far past the breast-feeding stage.
More important, it will force smaller states that once played a role as momentum builders on the path to a primary, but will now be ignored by the candidates rushing to grab the large batch of delegates available in the biggest states, to push for real systemwide changes to the primary process.
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Policymakers, institutional investors, and corporate managers must all play a role in creating systemwide change.
The solution will require a "systemwide change to the culture and climate in higher education," the National Academies of Sciences, Engineering and Medicine conclude.
It will be a long time before initiatives like these, dispersed and targeted as they are, add up to systemwide change.
The process is taken as seriously as a systemwide change to its search engine algorithms.
"We're facing the fact that it is a real struggle to make systemwide change," wrote the foundation's CEO, Sue DeSuend-Hellman.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com