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The ClASS framework is not without challenges.
The ClASS framework allowed for continuous quality improvement through feedback collected about reviewers and ClASS processes.
Participants agreed to interviews for the purposes of improving the ClASS framework.
The ClASS framework, approach and tools were accordingly refined before further implementation.
The five components of the ClASS framework are supported by a web portal [ 7].
Also, the ClASS framework has not included patient and other communities in the review process.
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The proposed interface consists in the Model of Operational Manufacturing System, the evolution class framework, the model of problem and the problem handling procedure using these models.
The latent class framework, unlike the standard models, is able to unmask hidden or complex relationships.
The effects of job strain on smoking and alcohol consumption are quite different between the standard models and the latent class framework.
The US Health Resources and Services Administration HRSSA) developed the Clinical Assessment for Systems Strengthening (ClASS) framework for technical assistance in resource-constrained settings.
The resulting information was used to make recommendations on improving the overall ClASS framework, its continuous quality improvement processes, the modules and tools, assessment report writing, and provision of technical assistance [ 9, 10].
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