The flow begins with BigTown City Council and continues to strategic objectives, numbered 1, 2, and 3. Operational objectives then run from 1 to 17, followed by quantitative targets and outcomes and activities. Central controllers connect this council level with District Committees through monthly reporting, finance, and four-monthly reporting, performance per output. District Committees contain committee objectives, quantitative targets and outcomes, and activities. District controllers then connect District Committees with Nursing Homes through the same monthly and four-monthly reporting links. Nursing Homes list commitments, working procedures, resource use, follow up, and development.The MCS of BigTown
Source: Authors’ own work
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