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Relate how a quality improvement program is based on a system of willful choice decision-making in a health organization. Can a reality-based decision making model work in quality improvement? Why or why not?2. How would you describe the cycle of leadership? How do you ‘learn the ropes’ in a health organization?3.   How would you describe the complexity of the health workforce environment and societal expectations? How might this lead to communication failure and conflict?

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