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9 General Reactions
Pages 57-59

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From page 57...
... Epner added that in a more accessible system, people would be able to better identify tools from all that have been attempted. TRAINING Diane Rittenhouse of UCSF said that developing skills related to health policy and health services research to be taught to medical students requires a lot of effort.
From page 58...
... SYSTEMS CHANGE Responding to a comment about the risk of attempting quality improvement at the system level when the basic science of quality improvement is not well understood, O'Neill said there are some truths to all organizations, one of which is binary communication. Binary communication allows for only yes or no answers, not maybe, and helps judge a system's level of organization.
From page 59...
... Great organizations are difficult to find, but if they could be identified, huge gains in the value of health and medical care could potentially be captured.


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