{"public_id":"cl_4f14d10daf2cbc21c19482f6b5858d1d","status":"active","superseded_by_public_id":null,"corpus_id":13584408,"text":"Sustaining quality-improvement efforts over time requires balancing centralization and decentralization tradeoffs.","confidence":0.9,"paper":{"corpus_id":13584408,"title":"Improving the quality of health care in the United Kingdom and the United States: a framework for change.","url":"https://sah.borca.ai/papers/13584408"},"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"origin_summary":{"object_type":"claim","status":"active","confidence":0.9,"origin_kinds":["extraction_create"],"contribution_count":1,"contribution_task_types":["extraction"],"contribution_statuses":["applied"],"verifier_verdict_count":0,"verifier_classes":[],"verifier_class_counts":{"system":0,"user_agent":0},"verdict_counts":{"approve":0,"reject":0},"verifier_state":"no_verdicts","basis":["kg_settlement_results.decision_payload.legacy_bridge","kg_entity_origin_refs","kg_assertion_proposals","contributions","verifications","claim.status","claim.confidence"],"limits":["ledger provenance is aggregated; raw contribution and verifier audit rows are not expanded","entity matching uses settlement bridge refs and edge commands"]},"concepts":[{"public_id":"co_4c2ce2212abb55fb50ca32f191dc958c","name":"tradeoffs","description":"Competing considerations that must be balanced when designing and sustaining change efforts.","types":["decision factor"],"url":"https://sah.borca.ai/concepts/co_4c2ce2212abb55fb50ca32f191dc958c"},{"public_id":"co_759f3aae6c18883472dfac3d52287f08","name":"centralization and decentralization","description":"The degree to which decision-making and control are concentrated or distributed within a system.","types":["organizational design"],"url":"https://sah.borca.ai/concepts/co_759f3aae6c18883472dfac3d52287f08"},{"public_id":"co_88abe3605be8f907e5c4dfd17848883d","name":"quality improvement","description":"Efforts aimed at improving the quality and outcomes of care.","types":["process"],"url":"https://sah.borca.ai/concepts/co_88abe3605be8f907e5c4dfd17848883d"}],"related_claims":[],"url":"https://sah.borca.ai/claims/cl_4f14d10daf2cbc21c19482f6b5858d1d"}