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              <text>Impact of gamification on learning outcomes in organizations  </text>
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              <text>Background Operational Excellence is a philosophy of leadership, teamwork and problem solving, to focus on the needs of the consumer, to empower employees, for ptimizing existing activities, continuous improvement and excellence. It is a competitive advantage which translates increased flexibility to improved consumer responsiveness, and lean management. Quality of care is about patient safety, institutional culture, attitude, clinical performance, clinical freedom with management as facilitators, efficient delivery of quality, high standard services, effective patient outcome, integration of legislation with regards to communities, health service providers, local health authorities and the government (WHO, 2013). The outcome of quality of care is health consumer (patient) satisfaction. High newlineperformance Engagement reflects how employees are engaged in their work, with commitment and passion, rather than mere compliance to impact performance. Health care is a balancing act between business excellence newlineand quality outcomes in practice. It is from the premise of high performance engagement and quality of care provided to health consumers with patient centered focus, the pedestal of success in operational excellence is achieved. Purpose This study focuses on establishing Operational Excellence in relation to High Performance Engagement and Quality of Care among executives in the health care sector. Method A descriptive study was carried out using quantitative method with a sample of 410 health care executives from NABH accredited and nonaccredited hospitals and qualitative analysis among patients in Kerala. Results newlineThe results indicate a positive correlation of operational excellence with high performance engagement and quality of care. The independent variables, high performance engagement and quality of care are significant predictors of operational excellence.</text>
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              <text>Nair, Sridevi.</text>
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              <text>Christ(Deemed to be University)</text>
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              <text>Mathew, Jain.</text>
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              <text>&lt;a href="http://hdl.handle.net/10603/426639" target="_blank" rel="noreferrer noopener"&gt;http://hdl.handle.net/10603/426639&lt;/a&gt;</text>
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