To contribute to the core values for a culture of Quality the results of the evaluation should be discussed with the involved staff and stakeholders and be used for further improvement. Continuous quality improvement depends on regular repetition of the Assess-Plan-Improve sequence. Remember that the primary reason to put energy and optimism in this phase is to work on support for the initiative from organizational leadership / higher management levels. To work on the creation of an environment for continuous improvement and to create the climate for expansion of your actions follwoi ng issues might show of relevance:

• Create time for staff to address improvement actions
• Organize support for improvement
• Remove complexity: simplify, consolidate, eliminate
• Gradual small incremental improvements
• Internal audits