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QUESTIONS:

1. How many Departments achieved compliance?

2. How many Sections achieved compliance?

3. Did your healthcare organization as a whole achieve compliance?

4. How many percentage points does the Surgery Section need to improve to be compliant?

5. How many percentage points does the Primary Care Section need to improve to be compliant?

6. How many percentage points does the Specialists Section need to improve to be compliant?

7. Which Department has the worst percentage of compliance?

8. Which Department has the second worst percentage of compliance?

9. Which Departments have the best percentage of compliance?

10. Which Section has the best percentage of compliance?

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