How did we develop the cDMA?
The Clinician Digital Maturity Assessment (cDMA) was designed using a rigorous methodology, including 150 doctors, nurses, and pharmacists across England, through workshops and a national Delphi study. This process mapped out the biggest pain points in EHR and IT, and produced consensus questions to measure the most important areas. We found recurring themes, both positive and negative:
Methodology
The slides below show a detailed methodology and key findings. A slide deck that includes the original questions that emerged from the Delphi study, can be downloaded here as a pdf. This work was conducted under the umbrella of NCIC, or the National Clinical Informatics Collaborative. The original Delphi study protocol can be downloaded here.
Why has it taken so long to come out?
You may have noticed that this work started in Summer 2021! User validation and benchmarking were completed by Spring 2023. In the intervening time, our team has made a monumental effort to unite this survey with existing NHS England What Good Looks Like. While there has been excellent engagement, we could not find an agreement that would result in (1) publicly available results, and (2) mapping of all the problem areas that we know exist.
As a result, with the support of the British Medical Assoiation, we have launched this as a grassroots initiative.