> 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-user-organizations/example-user-organization.md).

# Example: User Organization

## Scenario

A regional hospital that:

* Uses SNOMED CT in several key departments (e.g., emergency, inpatient)
* Has invested in clinician training and support
* Has inconsistent workflow integration across systems
* Has limited interoperability with external partners
* Uses SNOMED CT minimally for analytics and decision support

This reflects a typical provider organization, where adoption is driven by local clinical needs rather than enterprise-wide strategy.

***

## Step 1: Score Key Questions

### KPA: Scope of SNOMED CT Implementation

| Question           | Selected Option                           | Score |
| ------------------ | ----------------------------------------- | ----- |
| Clinical Areas     | Partial – uneven coverage                 | 25    |
| Clinical Workflows | Developing – partial workflow integration | 25    |

KPA Score = (25 + 25) ÷ 2 = 25

***

### KPA: Governance and Strategy

| Question             | Selected Option      | Score |
| -------------------- | -------------------- | ----- |
| Governance Structure | Basic governance     | 25    |
| Strategic Alignment  | Informal discussions | 25    |

KPA Score = 25

***

### KPA: User Proficiency and Training

| Question          | Selected Option      | Score |
| ----------------- | -------------------- | ----- |
| Training Programs | Structured programs  | 50    |
| User Support      | Identified champions | 50    |

KPA Score = 50

***

#### KPA: Interoperability

| Question            | Selected Option          | Score |
| ------------------- | ------------------------ | ----- |
| Data Exchange       | Limited interoperability | 25    |
| Standards Alignment | Incomplete mappings      | 25    |

KPA Score = 25

***

### KPA: Analytics and Decision Support

| Question         | Selected Option | Score |
| ---------------- | --------------- | ----- |
| Analytics Tools  | Basic analytics | 25    |
| Decision Support | Limited tools   | 25    |

KPA Score = 25

***

## Step 2: Overall Maturity Level

<table><thead><tr><th width="265.257080078125">Area</th><th width="207.8359375">Score</th><th>Level</th></tr></thead><tbody><tr><td>Scope of Implementation</td><td>25</td><td>Level 1–2</td></tr><tr><td>Governance &#x26; Strategy</td><td>25</td><td>Level 1</td></tr><tr><td>Training &#x26; Support</td><td>50</td><td>Level 2</td></tr><tr><td>Interoperability</td><td>25</td><td>Level 1</td></tr><tr><td>Analytics &#x26; CDS</td><td>25</td><td>Level 1</td></tr><tr><td>Overall</td><td>30</td><td>Level 1 – Basic</td></tr></tbody></table>

Domain Score = (25 + 25 + 50 + 25 + 25) ÷ 5 = 30

→ Level 1 – Basic (upper range)

***

## Interpretation

### Strengths

* Emerging training programs and internal expertise
* Early clinical adoption in selected departments
* Growing awareness of SNOMED CT benefits

### Weaknesses

* Limited and inconsistent adoption across the organization
* Lack of formal governance and strategy
* Weak interoperability and standards alignment
* Minimal use of SNOMED CT for analytics or decision support

***

## Priority Actions

To progress to Level 2–3, the organization should:

### 1. Establish Governance

* Define roles and responsibilities
* Develop an implementation roadmap
* Align with organizational strategy

### 2. Expand Adoption

* Roll out SNOMED CT across more departments
* Standardize usage across systems

### 3. Improve Workflow Integration

* Embed SNOMED CT in clinical documentation and processes
* Reduce reliance on free text

### 4. Strengthen Interoperability

* Align with standards (e.g., FHIR)
* Improve data exchange with partners

### 5. Build Analytics Capability

* Use SNOMED CT for reporting and quality improvement
* Introduce basic dashboards and insights

***

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