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Wash hington, in 2000. It was a challenging c tiime. During 1998 1 and 19999 the center had h lost moneey for the fiirst time. Staff morale waas in decline,, and area hospitals h pressented formid dable compettition. Withiin two years,, however, Kaplan K had raallied the org ganization arround a strategy that aim med to addreess those challlenges and establish e VMMC as the arrea s leader in i health caree quality. Wh hat he lacked d was a tooll for executin ng that strateegy until a serend.

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