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
Clinical Areas
Partial – uneven coverage
25
Clinical Workflows
Developing – partial workflow integration
25
KPA Score = (25 + 25) ÷ 2 = 25
KPA: Governance and Strategy
Governance Structure
Basic governance
25
Strategic Alignment
Informal discussions
25
KPA Score = 25
KPA: User Proficiency and Training
Training Programs
Structured programs
50
User Support
Identified champions
50
KPA Score = 50
KPA: Interoperability
Data Exchange
Limited interoperability
25
Standards Alignment
Incomplete mappings
25
KPA Score = 25
KPA: Analytics and Decision Support
Analytics Tools
Basic analytics
25
Decision Support
Limited tools
25
KPA Score = 25
Step 2: Overall Maturity 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)
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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