CISOM: A Model to Drive Clinically Integrated Supply Chain Maturity

HIMSS Analytics

Medical error is now the third leading cause of death in North America. Although there is growing awareness of the challenges related to patient safety, there has been little evidence of improvement as rates of death and serious injury related to error and adverse events increase. Digital infrastructure in clinical settings that offers tracking and traceability of care processes and products used during patient care linked to patient outcomes, are at the heart of the issue for clinicians.

So how do we address the issues when there is such vast complexity within health systems and their care delivery processes? Providers need a strategic path forward to support and enable system improvement and personalized care.


The solution is the HIMSS Clinically Integrated Supply Outcomes Model (CISOM), an eight stage (0-7) model that provides a strategic pathway to track processes and products used in care, by mobilizing data to create real world evidence of impact and outcomes for patient populations. Health systems use CISOM to create an automated supply chain infrastructure at the point of care in their organization to proactively identify risk of adverse events and cue clinicians to risk. This enables proactive interventions to prevent adverse events, which in turn, strengthens quality and safety for patients and improves system performance.

The model guides organizations to adopt and implement four key focus areas to achieve a clinically integrated data infrastructure in clinical settings:

  1. Automation
  2. Clinical Integration
  3. Predictive Data Analytics
  4. Governance and Leadership 

Organizations engaging in the CISOM are able to measure progress along each of these four dimensions, documenting patient safety and quality outcomes as they achieve new capabilities, emerging from clinical supply chain management.

The CISOM Score

The CISOM evaluation and scoring offers a clear understanding of the clinical integration of supply chain infrastructure maturity that provides a path with clear evidence of outcomes to inform leadership decisions that advance quality and safety and inform investment decisions. The evaluation will be publicly available and will offer organizations a Baseline Score by which they can determine their next best steps toward Stage 7.

The CISOM Criteria

The CISOM is an eight stage model (0-7) with distinct criteria for every stage.

Stage 7

Clinically integrated supply chain achieved, enabling:

  • Precision and personalized healthcare service delivery
  • Real world evidence of patient outcomes from traceability of care processes and products

Stage 6

  • Transparency across the patient journey of care
  • Automated traceability of patient care processes and products
  • Provider team care delivery linked to individual patient outcomes

Stage 5

  • Supply chain processes are automated and integrated at the point of care
  • Complete traceability of products and care processes
  • Automated tracking of adverse events and product recalls

Stage 4

  • Integration of supply chain processes into clinical programs
  • Optimization of inventory management linked to patient care needs

Stage 3

  • Supply chain strategy creates visibility of inventory across the organization
  • Automation of financial processes linked to product procurement
  • Evidence Informed product standardization

Stage 2

  • Inventory tracking and automation
  • Optimization of supply costs and inventory management

Stage 1

  • Basic supply chain processes are established as a business function of the organization

Stage 0

  • Inventory and supply processes are manual
  • There is no supply chain strategy identified for the organization

Getting Started

The HIMSS CISOM evaluation is available now and will provide you with a Baseline Score to show where your organization stands and where the gaps in your system exist. Be among the first to get your CISOM score.


Are you interested in a deeper dive into the CISOM model? Watch this webinar with Dr. Anne Snowdon, Director of Clinical Research, HIMSS Analytics, who provides an in-depth overview of the model. Find out how the CISOM can impact your organization.