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.

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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

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KPA: Governance and Strategy

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

KPA Score = 25

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KPA: User Proficiency and Training

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

KPA Score = 50

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KPA: Interoperability

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

KPA Score = 25

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KPA: Analytics and Decision Support

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

KPA Score = 25

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Step 2: Overall Maturity Level

Area	Score	Level
Scope of Implementation	25	Level 1–2
Governance & Strategy	25	Level 1
Training & Support	50	Level 2
Interoperability	25	Level 1
Analytics & CDS	25	Level 1
Overall	30	Level 1 – Basic

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

→ Level 1 – Basic (upper range)

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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

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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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