The diagram contains seven text boxes arranged in two rows. In the first row, the first text box positioned on the left is labeled “Develop initial version of L L H A”. A rightward arrow extends from this box to the second text box labeled “Implement L L H A with 5 Lean Experts”. From this box, another rightward arrow leads to a third text box labeled “Assess the face and content validity of L L H A”. A further rightward arrow connects to a fourth text box positioned last in the first row labeled “Modify L L H A based on feedback”. From this “Modify L L H A based on feedback” text box, a downward arrow leads to the second row, where a leftward connection leads into a fifth text box labeled “Develop revised version of L L H A”. A rightward arrow then extends to the sixth text box labeled “Implement L L H A with 3 I P D teams”. From this box, a final rightward arrow leads to the seventh text box labeled “Perform a factor analysis using the L L H A data”, completing the process flow.Validation process of the lean learning health assessment instrument
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