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Food is very important to the quality of life for elders in long-term care. (Viveky et al.2013) Due to the lack of standards in mealtime management education, a Regina Qu’Appelle Health Region (RQHR) dietitian worked in partnership with Regina Lutheran Home and Medical Media to develop a mealtime management video to enhance the training and education of staff (care assistants, nursing staff, food service workers, etc.) working with adults living in long term care (LTC) homes. During each stage of development this video, dieticians and other health care-professionals working in LTC from across Canada were consulted and feedback was incorporated. The video focuses on providing a safe, nutritious, and pleasurable meal experience for all residents. This video was developed for all departments in LTC to train both new and existing staff. The video is 12 minutes in length and after initial evaluation will be accessible internationally. This video can ensure that all LTC staff receive high quality education on basic mealtime management. The purpose of this session is to provide highlights of the development of the project, show excerpts of the video, present the research findings from a student-led pilot project, and discuss future goals.The Development and Operationalization of a Mealtime Enhancment Training Vide...
The Development and Operationalization of a Mealtime Enhancment Training Vide...Saskatchewan Health Care Quality Summit
Helen Bevan delivered this full-day workshop, where we discussed, with about 80 health care leaders, how to build contagious commitment for change.
Much of the redesign effort in health care is focused on the “anatomical” or technical aspects of improvement; how we transform processes, pathways and structures of care. There is growing recognition globally among leaders that we need to give more credence to the “physiological” aspects of redesign; how we capture the imagination and energy of frontline teams, leaders, and patients and families and mobilize them for system-wide transformation. Individuals and teams can weather the inevitable challenges presented by change, and they will sustain energy for change if they have an intrinsic sense of purpose, hope, and possibility about what the change will achieve.
At this one-day workshop, Helen Bevan – she is energy personified! - took us through some of the latest thinking and practice on how to build this ‘contagious commitment’ to change. She illustrated why energy is such a critical factor in successful change efforts. We learned about the different kinds of energy required for change, reviewed our Saskatchewan 'energy for change' profile, and built our skills for assessing and building energy levels in ourselves and in our team members.
The workshop took place in Regina, Saskatchewan, on Tuesday, April 9th, 2013.
Building Contagious Commitment for Change - Workshop with Helen Bevan | April...
Building Contagious Commitment for Change - Workshop with Helen Bevan | April...Saskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health RegionEarly Years Health and Development - Improvement Science Works in Populati…
Early Years Health and Development - Improvement Science Works in Populati…Saskatchewan Health Care Quality Summit
A session for patients and families from experienced patient and family advisors, on how to become more involved in the role and participate in a meaningful way. Cindy and Heather will both tell their stories on how they got involved as patient and family advisors, including the importance of this role and how they found their voice to speak up and be involved in many improvement efforts. A ‘how to’ for future advisors to find their voices and make changes in their home health regions. An excellent session for healthcare staff who are considering creating advisory councils in their own regions.Patients and Families Helping Patients and Families: How to Become Engaged an...
Patients and Families Helping Patients and Families: How to Become Engaged an...Saskatchewan Health Care Quality Summit
Keynote address by Brent James at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Dr. Brent James describes how Intermountain Healthcare is systematically, and successfully, bringing together clinicians, patients and leaders to: establish best practices; drive out waste in their system; and ultimately deliver better, safer care. Dr. James will share insights about the structures, strategies and relationships that have been pivotal in transforming their health system. Increasing Value, Saving Lives: Health Care in a New Era - Keynote Address by...
Increasing Value, Saving Lives: Health Care in a New Era - Keynote Address by...Saskatchewan Health Care Quality Summit
Recomendados
Food is very important to the quality of life for elders in long-term care. (Viveky et al.2013) Due to the lack of standards in mealtime management education, a Regina Qu’Appelle Health Region (RQHR) dietitian worked in partnership with Regina Lutheran Home and Medical Media to develop a mealtime management video to enhance the training and education of staff (care assistants, nursing staff, food service workers, etc.) working with adults living in long term care (LTC) homes. During each stage of development this video, dieticians and other health care-professionals working in LTC from across Canada were consulted and feedback was incorporated. The video focuses on providing a safe, nutritious, and pleasurable meal experience for all residents. This video was developed for all departments in LTC to train both new and existing staff. The video is 12 minutes in length and after initial evaluation will be accessible internationally. This video can ensure that all LTC staff receive high quality education on basic mealtime management. The purpose of this session is to provide highlights of the development of the project, show excerpts of the video, present the research findings from a student-led pilot project, and discuss future goals.The Development and Operationalization of a Mealtime Enhancment Training Vide...
The Development and Operationalization of a Mealtime Enhancment Training Vide...Saskatchewan Health Care Quality Summit
Helen Bevan delivered this full-day workshop, where we discussed, with about 80 health care leaders, how to build contagious commitment for change.
Much of the redesign effort in health care is focused on the “anatomical” or technical aspects of improvement; how we transform processes, pathways and structures of care. There is growing recognition globally among leaders that we need to give more credence to the “physiological” aspects of redesign; how we capture the imagination and energy of frontline teams, leaders, and patients and families and mobilize them for system-wide transformation. Individuals and teams can weather the inevitable challenges presented by change, and they will sustain energy for change if they have an intrinsic sense of purpose, hope, and possibility about what the change will achieve.
At this one-day workshop, Helen Bevan – she is energy personified! - took us through some of the latest thinking and practice on how to build this ‘contagious commitment’ to change. She illustrated why energy is such a critical factor in successful change efforts. We learned about the different kinds of energy required for change, reviewed our Saskatchewan 'energy for change' profile, and built our skills for assessing and building energy levels in ourselves and in our team members.
The workshop took place in Regina, Saskatchewan, on Tuesday, April 9th, 2013.
Building Contagious Commitment for Change - Workshop with Helen Bevan | April...
Building Contagious Commitment for Change - Workshop with Helen Bevan | April...Saskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health RegionEarly Years Health and Development - Improvement Science Works in Populati…
Early Years Health and Development - Improvement Science Works in Populati…Saskatchewan Health Care Quality Summit
A session for patients and families from experienced patient and family advisors, on how to become more involved in the role and participate in a meaningful way. Cindy and Heather will both tell their stories on how they got involved as patient and family advisors, including the importance of this role and how they found their voice to speak up and be involved in many improvement efforts. A ‘how to’ for future advisors to find their voices and make changes in their home health regions. An excellent session for healthcare staff who are considering creating advisory councils in their own regions.Patients and Families Helping Patients and Families: How to Become Engaged an...
Patients and Families Helping Patients and Families: How to Become Engaged an...Saskatchewan Health Care Quality Summit
Keynote address by Brent James at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Dr. Brent James describes how Intermountain Healthcare is systematically, and successfully, bringing together clinicians, patients and leaders to: establish best practices; drive out waste in their system; and ultimately deliver better, safer care. Dr. James will share insights about the structures, strategies and relationships that have been pivotal in transforming their health system. Increasing Value, Saving Lives: Health Care in a New Era - Keynote Address by...
Increasing Value, Saving Lives: Health Care in a New Era - Keynote Address by...Saskatchewan Health Care Quality Summit
The CDM-QIP session relates directly to both Better Care and Better Health and will focus on how the program helps clinicians across Saskatchewan to manage chronic conditions in their patients. The current chronic conditions included in the program are Diabetes and Coronary Artery Disease and will be expanding to include COPD and congestive heart failure. The presentation will include a demonstration CDM-QIP, an overview of its delivery and information regarding participation for those who want to sign up. A clinician will discuss how they have used CDM-QIP in their practice to benefit their patients. Early results generated by the program will be shared. Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...
Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...Saskatchewan Health Care Quality Summit
The Development of Regional and Community Driven Plan(s) to Better Respond to the Needs of Families with Young Children in Northwest Saskatchewan. Learn how communities in the Northwest region are working together at an interagency and community level to better the health and life outcomes of children.Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...
Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...Saskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Kanban is a Lean visual management tool that helps manage inventory by signalling when new supplies, parts or services are needed.
Better Value
Glenda G. Little; Barry A. McCaigRegina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
Regina Qu’Appelle Health Region (RQHR) Begins Kanban ImplementationSaskatchewan Health Care Quality Summit
The Patient & Family Care Experience Program pairs first year medical and pharmacy students with patient / family advisors over a six month period. Students learn firsthand what it’s like for patients and families to journey through our system. In this unique program, students have the opportunity to understand the role that patient and family members have as valuable members of the health care team, and to gain insight into how their health challenges have altered their lives. Come hear about the program and how it’s shaping the patient and family-centred culture of our future care providers.The Patient & Family Care Experience Program: Partnering with Our Future Prov...
The Patient & Family Care Experience Program: Partnering with Our Future Prov...Saskatchewan Health Care Quality Summit
As you may know, Virginia Mason Medical Center (VMMC) in Seattle was one of the first health care organizations to implement Lean methods and principles. You may also know that they have successfully been using these improvement tools originally designed for manufacturing to improve quality and safety. What may surprise you is that they have also unleashed the creativity of their staff, providers, and patients, by integrating innovation tools and methods with Lean. Through powerful stories and concrete examples, Paul Plsek will share how VMMC has created a culture of innovation, providing tools for everyone to think differently about their work and radically transform the care and services they provide.Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason Experience
Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason ExperienceSaskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
This presentation will share the results of a Rapid Process Improvement Workshop (RPIW) event that focused on reducing defects in plan of care (admission through to discharge) for hospital patients with chronic obstructive pulmonary disorder (COPD). The RPIW team was the first in Saskatchewan to pilot new tools (standard orders, care maps, discharge education) designed to provide more consistent, collaborative care for COPD patients.
Better Teams
Jennifer Hamel; Kelly Johnson, Saskatoon Health Region; Sharon Misskey, Saskatoon Health Region A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…
A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…Saskatchewan Health Care Quality Summit
The Development and Operationalization of a Mealtime Enhancement Training Vid...
The Development and Operationalization of a Mealtime Enhancement Training Vid...Saskatchewan Health Care Quality Summit
Paul Plsek: Bringing creativity and patient voice to our lean efforts
Paul Plsek: Bringing creativity and patient voice to our lean effortsSaskatchewan Health Care Quality Summit
This session will bust the myth that creative thinking is a rare gift, bestowed on only a special few. Anyone and everyone can think creatively. Take advantage of this unique opportunity to learn, from Paul Plsek, how to recapture your own capacity for creative thinking and unleash the creative energy of those you work with. Find out how formal and informal leaders can contribute to a culture that supports everyone in the organization to think differently about their work, and to find innovative ways to improve that work every day.Paul Plsek: Leadership to Establish the Culture and Practices of Innovation
Paul Plsek: Leadership to Establish the Culture and Practices of InnovationSaskatchewan Health Care Quality Summit
An ongoing 7-year partnership between the University of Saskatchewan and LutherCare Communities provides an opportunity for health professions students in the “Longitudinal Elderly Person Shadowing (LEPS) Project” to learn with, from and about their senior partners through a series of social events and structured small group visits. Participating students learn about health issues associated with aging, gain an appreciation for events that have shaped their senior partners’ lives, examine their own attitudes towards older adults and aging, and experience the benefits and challenges of working in interprofessional teams, while participating seniors enjoy sharing their wealth of knowledge and experience with the students whom they find to be professional and full of vitality.Teamwork and Communication: The LEPS Project Benefits Both Students and Seniors
Teamwork and Communication: The LEPS Project Benefits Both Students and SeniorsSaskatchewan Health Care Quality Summit
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The CDM-QIP session relates directly to both Better Care and Better Health and will focus on how the program helps clinicians across Saskatchewan to manage chronic conditions in their patients. The current chronic conditions included in the program are Diabetes and Coronary Artery Disease and will be expanding to include COPD and congestive heart failure. The presentation will include a demonstration CDM-QIP, an overview of its delivery and information regarding participation for those who want to sign up. A clinician will discuss how they have used CDM-QIP in their practice to benefit their patients. Early results generated by the program will be shared. Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...
Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...Saskatchewan Health Care Quality Summit
The Development of Regional and Community Driven Plan(s) to Better Respond to the Needs of Families with Young Children in Northwest Saskatchewan. Learn how communities in the Northwest region are working together at an interagency and community level to better the health and life outcomes of children.Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...
Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...Saskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Kanban is a Lean visual management tool that helps manage inventory by signalling when new supplies, parts or services are needed.
Better Value
Glenda G. Little; Barry A. McCaigRegina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
Regina Qu’Appelle Health Region (RQHR) Begins Kanban ImplementationSaskatchewan Health Care Quality Summit
The Patient & Family Care Experience Program pairs first year medical and pharmacy students with patient / family advisors over a six month period. Students learn firsthand what it’s like for patients and families to journey through our system. In this unique program, students have the opportunity to understand the role that patient and family members have as valuable members of the health care team, and to gain insight into how their health challenges have altered their lives. Come hear about the program and how it’s shaping the patient and family-centred culture of our future care providers.The Patient & Family Care Experience Program: Partnering with Our Future Prov...
The Patient & Family Care Experience Program: Partnering with Our Future Prov...Saskatchewan Health Care Quality Summit
As you may know, Virginia Mason Medical Center (VMMC) in Seattle was one of the first health care organizations to implement Lean methods and principles. You may also know that they have successfully been using these improvement tools originally designed for manufacturing to improve quality and safety. What may surprise you is that they have also unleashed the creativity of their staff, providers, and patients, by integrating innovation tools and methods with Lean. Through powerful stories and concrete examples, Paul Plsek will share how VMMC has created a culture of innovation, providing tools for everyone to think differently about their work and radically transform the care and services they provide.Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason Experience
Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason ExperienceSaskatchewan Health Care Quality Summit
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
This presentation will share the results of a Rapid Process Improvement Workshop (RPIW) event that focused on reducing defects in plan of care (admission through to discharge) for hospital patients with chronic obstructive pulmonary disorder (COPD). The RPIW team was the first in Saskatchewan to pilot new tools (standard orders, care maps, discharge education) designed to provide more consistent, collaborative care for COPD patients.
Better Teams
Jennifer Hamel; Kelly Johnson, Saskatoon Health Region; Sharon Misskey, Saskatoon Health Region A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…
A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…Saskatchewan Health Care Quality Summit
Destaque (11)
Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...
Optimizing the delivery of Chronic Disease Management-Quality Improvement (CD...
Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...
Building Health - Improving Early Childhood Outcomes in Northwest Saskatchewa...
The Saskatchewan Surgical Initiative: Lessons Learned
The Saskatchewan Surgical Initiative: Lessons Learned
Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
Regina Qu’Appelle Health Region (RQHR) Begins Kanban Implementation
The Patient & Family Care Experience Program: Partnering with Our Future Prov...
The Patient & Family Care Experience Program: Partnering with Our Future Prov...
Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason Experience
Paul Plsek: Can We Be Both Lean AND Creative? The Virginia Mason Experience
A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…
A Breath of Fresh Air: Reducing Defects in Plan of Care for Patients with C…
Mais de Saskatchewan Health Care Quality Summit
The Development and Operationalization of a Mealtime Enhancement Training Vid...
The Development and Operationalization of a Mealtime Enhancement Training Vid...Saskatchewan Health Care Quality Summit
Paul Plsek: Bringing creativity and patient voice to our lean efforts
Paul Plsek: Bringing creativity and patient voice to our lean effortsSaskatchewan Health Care Quality Summit
This session will bust the myth that creative thinking is a rare gift, bestowed on only a special few. Anyone and everyone can think creatively. Take advantage of this unique opportunity to learn, from Paul Plsek, how to recapture your own capacity for creative thinking and unleash the creative energy of those you work with. Find out how formal and informal leaders can contribute to a culture that supports everyone in the organization to think differently about their work, and to find innovative ways to improve that work every day.Paul Plsek: Leadership to Establish the Culture and Practices of Innovation
Paul Plsek: Leadership to Establish the Culture and Practices of InnovationSaskatchewan Health Care Quality Summit
An ongoing 7-year partnership between the University of Saskatchewan and LutherCare Communities provides an opportunity for health professions students in the “Longitudinal Elderly Person Shadowing (LEPS) Project” to learn with, from and about their senior partners through a series of social events and structured small group visits. Participating students learn about health issues associated with aging, gain an appreciation for events that have shaped their senior partners’ lives, examine their own attitudes towards older adults and aging, and experience the benefits and challenges of working in interprofessional teams, while participating seniors enjoy sharing their wealth of knowledge and experience with the students whom they find to be professional and full of vitality.Teamwork and Communication: The LEPS Project Benefits Both Students and Seniors
Teamwork and Communication: The LEPS Project Benefits Both Students and SeniorsSaskatchewan Health Care Quality Summit
In June 2013, a medical student research project was conducted which looked to characterize how long patients waited in line before being registered and triaged. This study took place at Royal University Hospital and St. Paul’s Hospital. This project inspired RPIW #51, which was aimed at reducing patient lead time at the emergency department in SPH. RPIW #51 successfully reduced the lead time from patients entering the ED to being assigned a bed by 50%. Audience members will learn how a research project translated into an RPIW that greatly improved multiple aspects of the patient experience in St. Paul’s ED.Translating an Emergency Department Wait Time Study to a Quality Improvement ...
Translating an Emergency Department Wait Time Study to a Quality Improvement ...Saskatchewan Health Care Quality Summit
Morning care is, for many long-term care residents, one of the only times they get dedicated one-on-one time with a care giver. Before this transformation, however, if you visited the unit, what you saw was care givers scurrying up and down the halls looking for linen and supplies. Now the halls are empty and silent, because the care givers are where they need to be – delivering uninterrupted one-on-one care to residents with all the supplies they need just where and when they need them and in the right amount. How Organizing Linen and Supplies Turned Morning Care from Frantic to Meaningful
How Organizing Linen and Supplies Turned Morning Care from Frantic to MeaningfulSaskatchewan Health Care Quality Summit
LutherCare Communities Organizational Lean Transformation: Creating the Prefe...
LutherCare Communities Organizational Lean Transformation: Creating the Prefe...Saskatchewan Health Care Quality Summit
Lean Improvements via Implementation of a Regional Pharmacy Kanban Inventory ...
Lean Improvements via Implementation of a Regional Pharmacy Kanban Inventory ...Saskatchewan Health Care Quality Summit
With the wait list eliminated, the Crisis Assessment Team (also known as CAT) has now evolved to not only respond to requests for service (elective or urgent), but also to be consistently abreast of all activity within the service.If at First You Don't Succeed...Build A Better Team - Waitlist Eliminated, an...
If at First You Don't Succeed...Build A Better Team - Waitlist Eliminated, an...Saskatchewan Health Care Quality Summit
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The Development and Operationalization of a Mealtime Enhancement Training Vid...
The Development and Operationalization of a Mealtime Enhancement Training Vid...
Paul Plsek: Bringing creativity and patient voice to our lean efforts
Paul Plsek: Bringing creativity and patient voice to our lean efforts
Paul Plsek: Leadership to Establish the Culture and Practices of Innovation
Paul Plsek: Leadership to Establish the Culture and Practices of Innovation
Teamwork and Communication: The LEPS Project Benefits Both Students and Seniors
Teamwork and Communication: The LEPS Project Benefits Both Students and Seniors
Engaging the 'Patient' in Patient Experience Surveying
Engaging the 'Patient' in Patient Experience Surveying
Working Towards Eliminating Surgical Site Infections
Working Towards Eliminating Surgical Site Infections
Visual management - Leadership Support for the Front Line
Visual management - Leadership Support for the Front Line
Translating an Emergency Department Wait Time Study to a Quality Improvement ...
Translating an Emergency Department Wait Time Study to a Quality Improvement ...
How Organizing Linen and Supplies Turned Morning Care from Frantic to Meaningful
How Organizing Linen and Supplies Turned Morning Care from Frantic to Meaningful
LutherCare Communities Organizational Lean Transformation: Creating the Prefe...
LutherCare Communities Organizational Lean Transformation: Creating the Prefe...
Lean Improvements via Implementation of a Regional Pharmacy Kanban Inventory ...
Lean Improvements via Implementation of a Regional Pharmacy Kanban Inventory ...
Kelvington Integrated Health Facility Addition and Removal
Kelvington Integrated Health Facility Addition and Removal
If at First You Don't Succeed...Build A Better Team - Waitlist Eliminated, an...
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- 2. A STORY OF ME. A STORY OF US. A STORY OF NOW…
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- 4. EFFICIENT
- 6. So… how do we get there?
- 9. “ARE YOU A SYSTEM?” SYS – TEM 1. A set of connected things or parts forming a complex whole, in particular. 2. A set of things working together as parts of a mechanism or an interconnecting network. Story of us
- 12. 8-8 Stages of Successful Social Movements Stages of Successful Large- Scale Change
- 13. Story of Now
Notas do Editor
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