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Primary questions are: Compared to Core strategies, are Enhanced strategies more effective in promoting improvement in quality indicators along the cascade and recursive use of DDDM? These two cased studies Cathedral City match com free trial Happy ending massage in Menifee of hybrid trials that either prioritize collection of effectiveness or implementation outcomes.

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No 17 Data was analyzed using matrix and thematic analyses. We added care process examples for each element, based on 18 interviews with mental health clinicians at three Veterans Health Administration VA medical centers, purposively selected for their varied extent of CCM implementation.

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