Sequence and may involve multiple dimensions of the

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sequence and may involve multiple dimensions of the organization with a high degree of professional autonomy and judgment required to complete the work (a) N= 4 (b) N= 9 Lean implementation focus (a) Targeted quality improvement (b) Diffusion across organization or entities (c) Transformative (a) N= 7 (b) N= 5 (c) N= 1 Primary care setting roll-out (a) Yes = implementation of Lean in the primary care setting (b) No = implementation of Lean is not being conducted in the primary care setting (a) N= 3 (b) N= 10 Timing (a) Able to be studied within the scope and timeline of this study (b) Not able to be studied within scope and timeline of this study (a) N= 13 (b) N= 0 *Note one project is still to be determined.
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12 Exhibit 5 depicts the research design of the overall project. Exhibit 5. Research Design Data Collection Activities Data collection activities included site visits with in-person interviews, digital diaries, collection of documentation, and telephone interviews. Data collection methods varied by analytic perspective (i.e., prospective and retrospective) and the stage of implementation of the Lean project (i.e., pre-implementation, implementation, post-implementation). Exhibit 6 shows the breakdown of data collection activities by both analytic perspective and stage of implementation. Exhibit 6. Data Collection Activities by Point in Time with Respect to Implementation and Type of Case LHC Retrospective Prospective Prospective Retrospective Prospective LHC- Horizon Retrospective Prospective Heights Retrospective Prospective Grand Prospective Prospective Central Prospective Prospective Suntown Lean Case Studies PRE- IMPLEMENTATION IMPLEMENTATION POST- IMPLEMENTATION Site visit, in-person interviews Document collection for data abstraction Site visit, in-person interviews Document collection for data abstraction Digital diaries Telephone interviews Document collection for data abstraction RETROSPECTIVE CASE STUDIES P R O S P E C T I V E C A S E S T U D I E S Data collection activity
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