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Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign

Figure 1. System transformation puzzle

Five integrated areas necessary for system transformation must fit together like the tightly fitted pieces of a puzzle. The five puzzle pieces are: right physical environment, right people, right process, right communication and culture, and right reward system. Overlaying the puzzle is information technology, which plays a role in holding the puzzle together.

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