Example: Member - National Release Center

Scenario

A national health authority with:

• Well-established governance and national strategy

• Strong central SNOMED CT capability (extension, policy, guidance)

• Limited uptake across healthcare providers

• Minimal secondary use of SNOMED CT data

This reflects a typical mid-stage national program, where central readiness outpaces adoption.

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Step 1: Score Key Questions

KPA: Growth and Adoption

Question	Selected Option	Score
Affiliate Adoption	<25% adoption	25
Monitoring & Metrics	Minimal monitoring	25

KPA Score = (25 + 25) ÷ 2 = 25

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KPA: Governance and Strategy

Question	Selected Option	Score
Governance Structure	Comprehensive governance with reviews	75
Strategic Alignment	Integrated with national initiatives	75

KPA Score = 75

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KPA: Stakeholder Engagement

Question	Selected Option	Score
Stakeholder Involvement	Occasional engagement	25
End-User Resources	Structured resources	50

KPA Score = (25 + 50) ÷ 2 = 37.5

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KPA: National Extension Management

Question	Selected Option	Score
Extension Processes	Systematic processes	75

KPA Score = 75

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KPA: Secondary Use

Question	Selected Option	Score
Secondary Data Use	Initial attempts	25

KPA Score = 25

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Step 2: Overall Maturity Level

Area	Score	Level
Growth & Adoption	25	Level 1-2
Governance & Strategy	75	Level 4
Extension Management	75	Level 4
Secondary Use	25	Level 1-2
Overall	47.5	Level 2 – Emerging

Domain Score = (25 + 75 + 37.5 + 75 + 25) ÷ 5 = 47.5

→ Level 2 – Emerging (upper range)

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Step 3: Interpretation

Strengths

• Strong national governance and policy alignment

• Mature extension management and terminology capability

• Clear strategic direction

Weaknesses

• Very low adoption across affiliates

• Limited monitoring and feedback mechanisms

• Weak stakeholder engagement

• Minimal secondary use of data

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Priority Actions

To move toward Level 3 – Advanced, the Member should:

1. Drive Adoption

• Establish national implementation mandates or incentives

• Support onboarding of healthcare providers

• Define minimum adoption requirements

2. Strengthen Engagement

• Create formal stakeholder forums

• Build partnerships with providers and vendors

• Increase communication and support

3. Improve Monitoring

• Introduce national adoption metrics

• Track usage across affiliates

• Use data to guide interventions

4. Enable Secondary Use

• Develop national analytics platforms

• Promote reporting and research use cases

• Align SNOMED CT with broader data strategy

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