What are the greatest barriers that you have encountered or anticipate in trying to apply quality improvement and Lean techniques?

What are the greatest barriers that you have encountered or anticipate in trying to apply quality improvement and Lean techniques?

Why do you think quality improvement and Lean approaches are important in healthcare reform? What is the importance of quality improvement and Lean in emerging models of integrated care, such as the Patient-Centered Medical Home (PCMH) or Accountable Care Organization (ACO)?

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What are the greatest barriers that you have encountered or anticipate in trying to apply quality improvement and Lean techniques? How can you overcome these barriers?

What are effective approaches to introducing quality improvement and Lean to healthcare professionals who do not have training or education in these approaches? What approaches are not likely to be effective?

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