Many pilots fail not because the model is ineffective, but because evaluation frameworks are too weak to support scaling decisions. This article explains how to design pilot evaluation structures that produce funder-ready evidence, operational learning, and defensible scale-up decisions across U.S. health and community systems.
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Enforcement is usually the end of a long story of drift: weak oversight, inconsistent practice, and evidence gaps. This article shows how to respond when findings land—how to build an effective corrective action plan, stabilize delivery, produce credible proof of remediation, and reduce the risk of repeat citations across sites.
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