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Work In Progress: Guidance Implementation / QI

Below is a sampling of resources that are available to support guidance implementation and care delivery quality improvement.

  • BPM+ Health Adoption WG's
    • Adoption Playbook
      • This BPM+ Health Adoption Playbook proposes an adoption and change management process for organizations seeking to translate sharable clinical pathways directly into local clinical processes and workflows.
      • The playbook is designed to go beyond the technical aspects of clinical pathway implementation; it focuses on the management, people, process, and acquisition components of the undertaking. It is important to note that adoption of sharable clinical pathways does not necessarily imply full automation.
      • Adoption may range from using the pathways as specifications for the reengineering of manual processes all the way to full process automation. The principles and approaches outlined in this document apply to the full spectrum of adoption. 
    • Readiness Assessment and Maturity Model (Excerpt from descriptions about the tool below)
      • Readiness Assessment Maturity Model (RAMM)
        Author: Organizational Adoption and Change Management Working Group
        Why did we build the RAMM?
        For healthcare and clinical organizations to keep up with industry best practices, they must constantly evolve and adapt to ever-changing guidance and requirements, often necessitating changes affecting their IT, the people who use it, and the processes around its use. The ability to affect change makes this particularly difficult, and the ability for organizations to readily adopt and embrace these changes directly impacts their efficacy and ultimately their outcomes.

        The Readiness Assessment and Maturity Model (RAMM) was created to help organizations determine how well-positioned they are to support these needs. This model focuses on what have been identified as key critical-path measures and indicators, allowing for an objective assessment of an organization and its ability to embrace change. More importantly, it allows for the identification of improvement opportunities to allow for more effective adoption and organizational change management by identifying specific skillsets, actions, or activities that can be undertaken to address identified concern areas.

        What is the RAMM?
        The Adoption Readiness Assessment and Maturity Model (RAMM) for sharable clinical pathways are intended to evaluate the maturity of an organization's capacity to adopt clinical guidelines, not the maturity of its clinical practice. Based upon the broadly accepted 5-level maturity model construct, the RAMM fosters and supports organizational transformation by improving readiness to adopt clinical pathways, proven workflows, and best practices and addressing human and technical considerations needed to achieve a Learning Health System. The tool recognizes a broad spectrum of implementation approaches and seeks to help the consuming organization relate their unique situation and address gaps they might have relative to their institutional goals.

        The work has significantly drawn upon proven approaches from both within and beyond the Health and Healthcare vertical, where capability maturity models have been used to eliminate the barriers to improvement, to advance practice improvement, and to manage technology evolution and adoption through a disciplined, sustainable, evolutionary paths.

  • Guide to Improving Care Processes and Outcomes in Health Centers
    • Although developed for the HRSA-funded HITEQ center to support quality improvement in health centers, the approaches outlined in this guide are applicable to care transformation efforts in other settings. 
  • C19 Digital Guideline WGs Playbook

Steps By Stakeholders Toward Future Vision


  • CMS Quality Innovation Network/Quality Improvement Organization (QIN-QIO): leverage cutting edge best practices to provide assistance for QI interventions at point of care and through continuous tracking and monitoring, leveraging knowledge management.  "quickly spread best practices for better care while accommodating local conditions and cultural factors. Learn how we collaborate to achieve these goals." For example, IPRO QIN-QIO is leveraging existing ...[insert text to come from Anne Myrka]