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Table 1 Description of the five stages of continuous improvement

From: Pathways to improve health information systems in Ethiopia: current maturity status and implications

Stage

Description

Score

Emerging/ad hoc

Formal processes, capabilities, experience, or understanding of HIS issues/activities are limited or emerging

Formal processes are not documented, and functional capabilities are at the development stage

Success depends on individual effort

1

Repeatable

Basic processes are in place based on previous activities or existing and accessible policies

The need for standardized processes and automated functional capabilities is known

There are efforts to document current processes

2

Defined

There are approved, documented processes and guidelines tailored to HIS projects or activities

There is increased collaboration and knowledge-sharing

Innovative methods and tools can be implemented and used to extend functional capabilities

3

Managed

Activities are under control using established processes

Requirements/goals have been developed, and a feedback process is in place to ensure that they are met

Detailed measures for processes and products are being collected

4

Optimized

Best practices are being applied, and the system is capable of learning and adapting

The system uses experiences and feedback to correct problems and continuously improve processes and capabilities

Future challenges are anticipated, and a plan is in place to address them through innovation and new technology

Processes are in place to ensure review and incorporation of relevant innovations

5