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- Focuses on problems with systems not individuals
- Involves changing a single element that triggers other changes
- Is long range and not a snapshot event
- Is an ongoing, constantly improving process
- Requires the participation of those impacted by the change
- Alters beliefs, attitudes and behaviors
- Requires identification of change agents and implementation of a plan
- Requires broad support of the local community
- Involves incremental infusion into existing programs and policies through collaboration and cooperation among participants
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