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On the next planned round of planned improvements--namely, provider participation/adherence--if, after the nursing staff improvements, there is still a strong correlation between option two usage rate (within two days of hospital stay) and percentage managed to optimal glycemic range, taking a current state sample of patient performance by provider in these two measure areas and comparing it to post provider improvement samples will support the change management process. Supplying the providers with an individual before and after scorecard or reading will prove the quality increase (within glycemic range) with the increase in moving sooner to best practice option two. I would suggest a reading at the three, six and 12-month marks. In the business world, privately communicating individual processor performance with a strong visual example before and incremental results after readings greatly supports aggregate change adoption.
--Maura Zigmont, 08-28-2012

Keith, I thought Jane might find this approach, if not the subject matter, relevant to her new role.
--Jane Corner, 08-08-2012
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--Maurizio Bray, 08-29-2012