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High quality of care and high staff morale go hand in hand. Only staff on the ground can identify patient needs in real time and only if that staff is encouraged to help one another solve patient needs.

But this requires top management commitment to investment in staff--staff to patient ratios, staff training, etc.

The change of culture required starts at the top and requires investment. Now we will see if the Sec of State can put his money where his mouth is, so to speak.