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VHA Systems Redesign; Transformational change in health care ...

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Model Culture<br />

• Improvement Initiatives<br />

– Must re-eng<strong>in</strong>eer not just do a project<br />

– Must be important work<br />

– Successful <strong>in</strong>itiatives build momentum<br />

• Alignment<br />

– All levels with shared understand<strong>in</strong>g<br />

– Match resources with goals<br />

– Mean<strong>in</strong>gful employee goals and accountability<br />

VanDeusen Lukas, Health<strong>care</strong> Manage<br />

Rev 2007, 32(4), 309-320

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