One needs to look with an 'organizational culture' frame when trying to understand why 2 services having the same technology and equally qualified people can provide different quality of patient experiences. Here is what I found when looking at 2 IVF clinics and their unequal performance over the same 5 year period despite being similar technically.

Its no wonder that clinic A had excellent results and better growth in patient numbers while clinic B was stagnant in patient numbers and results lower but not bad enough to put off patients.