Using Roger's (Rogers, 2003) Diffusion of Innovation Theory made it possible to analyze the implementing processes for new educational policies as multi-faceted and susceptible to influences from stakeholders' societal value systems.
Currently the National Quality Standards (NQS), including a new quality rating system, are in the early stages of the implementing process.
The interaction with the actors in the belonging network affects and increases the dynamic capabilities, thus stimulating the management to break the interpretive schemes and the ritualization in decision-making and implementing process of a strategy able to face effectively the market complexity (Barile 2009).
Support from key officials in the Ministry of Health, members of local medical boards and ethics committees, and heads of the Obstetrics and Gynecology Departments in the implementing hospitals and clinics facilitated the implementation process and the success of the program.
Going beyond conventional public health understandings, the policy literature sees the implementation process as full of contestation, negotiation and bargaining among implementing actors (individuals and organisations), leading to decisions that shape the implementation [ 20].
They are so consumed with "putting out fires" that it can be hard to maintain focus on prevention activities like tracking patterns of adverse events and implementing process improvements.
Further more, the results of our study could contribute to the discussion for the choice of health care systems in countries that are in the process of implementing (universal) health care insurance, like middle income countries or the newly independent states of the former Russian Federation.
On 17 November 2004, the parties exchanged notes accepting their respective implementing processes and the agreement entered into force on 1 January 2005.
The Australian government, for example, quite explicitly gave undertakings that the fundamental architecture of Australia's CEAP system would not be altered by the AUSFTA[ 75] and backed this up by passing implementing legislation against the process of patent "evergreening" predicated on such an assumption.
