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Dr. Berwick, I have been fascinated for years by the work that your team from IHI has done in the healthcare field. To me there seems to be tremendous potential for crossover into education for improvement. I know there are a few examples of this work, but it is isolated and rare. What policies a governor can be proposed to encourage learning and rapid innovation (using short-cycles and tactics such as PDSA)?

Yes, too often it seems we feel stuck with inefficiency and dysfunction. The key question is how we go about constructing policy that encourages innovation. It seems that policy is a very blunt tool, but a leader like Don Berwick seems to have the chops to help us make it happen.