> For the complete documentation index, see [llms.txt](https://docs.snomed.org/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.snomed.org/snomed-ct-practical-guides/implementation-maturity-framework-guide/snomed-ct-implementation-maturity-assessment/maturity-assessment-for-members-national-release-center.md).

# Maturity Assessment for Members (National Release Center)

This assessment is designed for Members (National Release Centers) responsible for national or regional SNOMED CT implementation, governance, and adoption .

It enables evaluation of:

* Adoption across affiliates
* Governance and strategic alignment
* Stakeholder engagement
* National extension management
* Secondary use of SNOMED CT

The goal is to measure maturity, identify gaps, and support continuous improvement.

***

## KPA: Growth and Adoption

This KPA evaluates the extent and success of SNOMED CT adoption across a Member’s target ecosystem (e.g., healthcare providers, institutions, affiliates).

It focuses on:

* Adoption coverage (how many organizations are using SNOMED CT)
* Monitoring and measurement capabilities

Higher maturity indicates broad adoption supported by structured tracking and continuous improvement strategies.

{% stepper %}
{% step %}

### Number of Affiliates vs Target

#### Question

> **How would you describe the current level of affiliate adoption of SNOMED CT in your region?**

#### Context

Consider what percentage of your target organizations (affiliates) are actively using SNOMED CT.

<table><thead><tr><th width="96.1441650390625">Option</th><th>Description</th><th width="88.07598876953125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No affiliates using SNOMED CT</td><td>0</td><td>No awareness or adoption capability</td></tr><tr><td>1</td><td>&#x3C;25% adoption</td><td>25</td><td>Limited and inconsistent uptake</td></tr><tr><td>2</td><td>25–75% adoption</td><td>50</td><td>Moderate progress, still scaling</td></tr><tr><td>3</td><td>75–95% adoption</td><td>75</td><td>Strong adoption, nearing full coverage</td></tr><tr><td>4</td><td>100% adoption</td><td>90</td><td>Full target population adoption</td></tr><tr><td>5</td><td>Advanced, continuously improved</td><td>100</td><td>Fully embedded with ongoing optimization</td></tr></tbody></table>
{% endstep %}

{% step %}

### Monitoring and Metrics Strategy

#### Question

> **Is SNOMED CT adoption tracked and supported with metrics and monitoring strategies?**

#### Context

Consider how adoption is measured, tracked, and supported across healthcare settings.

<table><thead><tr><th width="94.99005126953125">Option</th><th>Description</th><th width="87.266357421875">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No monitoring</td><td>0</td><td>No tracking mechanisms</td></tr><tr><td>1</td><td>Minimal monitoring</td><td>25</td><td>Limited tracking in isolated settings</td></tr><tr><td>2</td><td>Structured metrics tracking</td><td>50</td><td>Affiliate and hospital usage tracked</td></tr><tr><td>3</td><td>Monitoring supported by education initiatives</td><td>75</td><td>Training programs linked to adoption tracking</td></tr><tr><td>4</td><td>Dynamically improved monitoring</td><td>90</td><td>Feedback-driven improvements</td></tr><tr><td>5</td><td>Advanced continuous monitoring</td><td>100</td><td>Fully optimized monitoring ecosystem</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: Governance and Strategy

This KPA assesses the organizational structures, policies, and strategic alignment that guide SNOMED CT adoption at a national level.

It focuses on:

* Governance frameworks
* Roles and responsibilities
* Alignment with national healthcare priorities

Higher maturity reflects well-coordinated, adaptive governance embedded in national health strategies.

{% stepper %}
{% step %}

### Governance Structure

#### Question

> **Is there a formal governance structure in place for managing SNOMED CT adoption?**

#### Context

Evaluate how organized and structured governance and oversight mechanisms are.

<table><thead><tr><th width="93.2144775390625">Option</th><th>Description</th><th width="95.56036376953125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No governance structure</td><td>0</td><td>Ad hoc decision-making</td></tr><tr><td>1</td><td>Basic, inconsistent governance</td><td>25</td><td>Fragmented policies</td></tr><tr><td>2</td><td>Well-defined governance framework</td><td>50</td><td>Clear roles and policies</td></tr><tr><td>3</td><td>Comprehensive governance with reviews</td><td>75</td><td>Stakeholder involvement and audits</td></tr><tr><td>4</td><td>Continuously improved governance</td><td>90</td><td>Feedback-driven updates</td></tr><tr><td>5</td><td>Advanced continuous governance</td><td>100</td><td>Fully optimized governance model</td></tr></tbody></table>
{% endstep %}

{% step %}

### Strategic Alignment

#### Question

> **Are strategic goals and governance frameworks aligned with national healthcare priorities?**

#### Context

Consider alignment with:

* National digital health strategies
* EHR initiatives
* Interoperability frameworks

<table><thead><tr><th width="94.41473388671875">Option</th><th>Description</th><th width="88.62286376953125">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No documented goals</td><td>0</td><td>No structured alignment</td></tr><tr><td>1</td><td>Occasional alignment</td><td>25</td><td>Informal or inconsistent efforts</td></tr><tr><td>2</td><td>Documented and aligned strategy</td><td>50</td><td>Formal plans exist</td></tr><tr><td>3</td><td>Integrated with national initiatives</td><td>75</td><td>Embedded in healthcare programs</td></tr><tr><td>4</td><td>Dynamically updated strategies</td><td>90</td><td>Regular reviews and updates</td></tr><tr><td>5</td><td>Advanced continuous alignment</td><td>100</td><td>Fully adaptive strategic model</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: Stakeholder Engagement

This KPA evaluates how effectively the Member engages and supports key stakeholders, including:

* Healthcare providers
* Government bodies
* Professional associations
* End-users

It also assesses the availability of resources and support systems.

Higher maturity indicates active collaboration, structured engagement strategies, and strong user support ecosystems.

{% stepper %}
{% step %}

### Stakeholder Involvement

#### Question

> **How engaged are stakeholders in SNOMED CT adoption efforts?**

#### Context

Consider the level of participation and collaboration across stakeholders.

<table><thead><tr><th width="98.4417724609375">Option</th><th>Description</th><th width="98.3792724609375">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No engagement</td><td>0</td><td>No adoption</td></tr><tr><td>1</td><td>Minimal engagement</td><td>5</td><td>Isolated efforts</td></tr><tr><td>2</td><td>Occasional engagement</td><td>25</td><td>Informal meetings</td></tr><tr><td>3</td><td>Structured involvement</td><td>50</td><td>Regular working groups</td></tr><tr><td>4</td><td>Comprehensive engagement strategy</td><td>75</td><td>Formal partnerships</td></tr><tr><td>5</td><td>Continuously refined engagement</td><td>100</td><td>Adaptive engagement model</td></tr></tbody></table>
{% endstep %}

{% step %}

### Resources for End-Users

#### Question

> **Are resources and support available for end-users?**

#### Context

Evaluate availability of:

* Training materials
* Documentation
* Helpdesk/support channels

<table><thead><tr><th width="91.79052734375">Option</th><th>Description</th><th width="92.77978515625">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No resources</td><td>0</td><td>No support systems</td></tr><tr><td>1</td><td>Basic resources</td><td>25</td><td>Limited documentation</td></tr><tr><td>2</td><td>Structured resources</td><td>50</td><td>FAQs and support channels</td></tr><tr><td>3</td><td>Comprehensive resources</td><td>75</td><td>Training + documentation</td></tr><tr><td>4</td><td>Continuously improved resources</td><td>90</td><td>Feedback-driven updates</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized support</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

## KPA: National Extension Management

This KPA focuses on the management of national SNOMED CT extensions, including:

* Localization
* Translation
* Content updates
* Governance of national terminology

Higher maturity reflects systematic, high-quality, and continuously evolving national content management processes.

{% stepper %}
{% step %}

### National Extension Processes

#### Question

> **Are processes in place for managing and updating national SNOMED CT content?**

#### Context

Consider governance, editorial guidelines, and update cycles.

<table><thead><tr><th width="94.766357421875">Option</th><th width="268.18035888671875">Description</th><th width="87.19891357421875">Score</th><th>Example</th></tr></thead><tbody><tr><td>0</td><td>No processes</td><td>0</td><td>No extension exists</td></tr><tr><td>1</td><td>Ad hoc efforts</td><td>25</td><td>Unstructured updates</td></tr><tr><td>2</td><td>Structured processes</td><td>50</td><td>Editorial guidelines</td></tr><tr><td>3</td><td>Systematic processes</td><td>75</td><td>Governance and quality assurance</td></tr><tr><td>4</td><td>Dynamically updated processes</td><td>90</td><td>Continuous improvements</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized lifecycle</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

***

## KPA: Secondary Use

This KPA evaluates how SNOMED CT supports secondary use of data, including:

* Research
* Analytics
* Reporting
* Decision support
* Population health

Higher maturity reflects advanced analytics, AI-driven insights, and integration into national health data strategies.

{% stepper %}
{% step %}

### Use for Secondary Data

#### Question

> **How effectively is SNOMED CT being used for secondary data purposes?**

#### Context

Consider use in:

* Research
* Reporting
* Analytics platforms
* Policy and decision-making

<table><thead><tr><th width="96.8046875">Option</th><th>Description</th><th width="85.88140869140625">Score</th><th>Text</th></tr></thead><tbody><tr><td>0</td><td>No secondary use</td><td>0</td><td>Only primary documentation</td></tr><tr><td>1</td><td>Initial attempts</td><td>25</td><td>Limited impact</td></tr><tr><td>2</td><td>Basic analytics</td><td>50</td><td>Reporting and dashboards</td></tr><tr><td>3</td><td>Advanced use cases</td><td>75</td><td>Predictive analytics, CDS</td></tr><tr><td>4</td><td>Continuously refined</td><td>90</td><td>AI-driven insights</td></tr><tr><td>5</td><td>Advanced ecosystem</td><td>100</td><td>Fully optimized data use</td></tr></tbody></table>
{% endstep %}
{% endstepper %}

***

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