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10.2147/OTT.S248492 162 YuanJ.HouK.YaoY.DuZ.LuC.YuanQ.et al (2020b)

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Gap analysis revealed: (1) piecemeal and siloed problem-solving approaches toward quality improvement, (2) lack of understanding of the most impactful metrics (definitions and measurement) contributing to the present rank and star rating methodology, and (3) lack of collaboration and data transparency among stakeholders to achieve a culture change

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