The figure starts with a circle positioned on the left labeled “Motivation to Learn and Apply Lean Principles and Techniques”. A rightward arrow from this circle extends to the text box labeled “Performance of Learning Strategies and Lean Principles and Techniques”. Above this arrow, a text box positioned at the center is labeled “Knowledge of Lean Techniques and Principles” and extends a downward dashed arrow to “Performance of Learning Strategies and Lean Principles and Techniques”. A rightward arrow extends from “Performance of Learning Strategies and Lean Principles and Techniques” and leads to the circle positioned on the right labeled “Evaluate Performance to Develop Metacognitive Awareness”. A curved arrow labeled “Effort Regulation in Learning and Application of Lean Principles and Techniques” loops from below back into “Performance of Learning Strategies and Lean Principles and Techniques”.Dimension model of the lean learning health assessment
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