> 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/understanding-and-progressing-maturity/progressing-to-higher-maturity-levels-members.md).
# Progressing to Higher Maturity Levels (Members)
This section guides Members (national or regional organizations) on how to progress between maturity levels.
Members often exhibit uneven maturity, with strong central capability but limited adoption across affiliates. Progression requires moving from central readiness to ecosystem-wide implementation.
***
## Moving from Level 0–1 (None / Basic) to Level 2 (Emerging)
### Typical Situation
* No formal governance
* Limited or no national strategy
* Minimal adoption
### Key Actions
* Establish national governance structure
* Define roles and responsibilities
* Develop a national SNOMED CT strategy
* Provide access (licensing, distribution)
### Outcome
→ Structured national approach with initial adoption
***
## Moving from Level 2 (Emerging) to Level 3 (Advanced)
### Typical Situation
• Governance exists\
• Early adopters present\
• Limited coordination
### Key Actions
* Expand adoption across affiliates
* Provide implementation guidance
* Establish stakeholder engagement mechanisms
* Introduce monitoring and metrics
### Outcome
→ Growing and coordinated adoption across the ecosystem
***
## Moving from Level 3 (Advanced) to Level 4 (Integrated)
### Typical Situation
* Broad but uneven adoption
* Infrastructure in place
* Limited standardization
### Key Actions
* Standardize implementation nationally
* Strengthen interoperability frameworks
* Improve terminology services and extensions
* Align stakeholders and systems
### Outcome
→ Consistent, interoperable national ecosystem
***
## Moving from Level 4 (Integrated) to Level 5 (Optimizing)
### Typical Situation
* High adoption
* Strong infrastructure
* Limited advanced data use
### Key Actions
* Enable advanced analytics and research
* Continuously improve governance and processes
* Support innovation and new use cases
* Monitor outcomes and impact
### Outcome
→ Fully optimized, data-driven national system
***
## Key Success Factors
* Strong national leadership
* Active stakeholder engagement
* Clear policies and standards
* Continuous monitoring and improvement
***
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