We used constant comparison analysis to synthesize codes into meaningful domains. Transcripts of audio recordings were analyzed using a priori codes based on the Consolidated Framework for Implementation Research. We conducted qualitative semi-structured interviews with 108 employees (22 senior leaders, 42 middle managers, 37 front-line providers and 7 staff). We conducted multi-day site visits at four US Department of Veterans Affairs medical centers designated as leaders in providing patient-centered care. We sought to understand key organizational factors for implementing patient-centered care cultural transformation through an examination of efforts in the US Department of Veterans Affairs. Yet little is known about how best to transform the culture of care in these organizations. Healthcare organizations increasingly are focused on providing care which is patient-centered rather than disease-focused.

8 Independent Research Consultant (formerly VA), Chicago, IL, USA.

7 Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

6 Center for Innovation for Complex Chronic Healthcare (CINNCH), Department of Veterans Affairs, Edward Hines Jr.

5 Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, MD, USA. 4 Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA.

3 Center for Healthcare Organization and Implementation Research, ENRM Veterans Affairs Medical Center, Bedford, MA, USA.

2 Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, MA, USA.

1 Center for Healthcare Organization and Implementation Research, ENRM Veterans Affairs Medical Center, Bedford, MA, USA.Massive Holy Water (x5) (possibly more).Get at least 28 Stars for the best chance at the best items! When you're done, speak to the Sassy Imp to leave the dream and receive prizes based on the number of Stars you've obtainedĮvent Rewards Prizes are awarded based on the number of Stars you accumulate.The more Ogres you damage and kill, the more Stars you'll receive for your performance.Slay Gremlins for their Power Mushrooms and Potions to have a fighting change.Try to fight off the massive Ogres while in the form of a lowly Imp, with the help of other Dreamers in the area.Listen to the Barker Imp describe his bizarre dream and complete his quest to gain access to his dream world.Find the Barker Imp, just west of Tracy's Logging Camp in Uladh Forest.

Imp Dreamland EventĮvent Dates: Wednesday, Jun. You can also get in the spirit of things by getting an Imp buddy of your own, as the Jungle Scout, Lava Walker and Warp Imps are all half off! Check it all out below. The Imp Dreamland Event has finally returned! Enter the strange dream of Barker Imp in Uladh Forest to show some goblin ingenuity for some fantastic prizes.

Barker imp