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OSIM is a capability measurement tool and process that health services can use to determine how supportive of improvement or ‘change friendly’ their organisation is at a point in time.

OSIM is designed to help you figure out where your service is in its improvement journey by:

  • prompting discussion about organisational strengths and areas of development
  • reflecting on ways to improve capability
  • informing strategic goals.

Completing OSIM will help you close the gap between where the organisation is and where you want it to be.

How does it work?

It is structured around four key areas, or 'domains'

1. Organisational systems and structures

The processes and management of processes and its demonstrated ability to drive improvement.

2. Workforce capability and development

The knowledge skills and abilities of the workforce related to improving work processes and systems and the availability of training to build capability

3. Results and system impact

The means by which results are measured and tracked and the emerging benefits communicated.

4. Culture and behaviour

The mechanisms to support and embed a continuous improvement environment, including leaders’ awareness of their role in driving improvement.

Graphic image with text showing the four domains of OSIM

Each domain comprises a set of criteria - the levers in an organisation that impact on or promote improvement capability.

Health services use the provided workbook to self-assess against each criterion. This involves asking the question, 'How well does our health service meet this criterion?' and then assigning a maturity level, from Level 1 Foundational, to Level 5 Advanced.

Once your service has completed OSIM you will receivea score for your overall maturity level and improvement capability. This helps you gain an understanding of organisational strengths and areas for development.

OSIM maturity levels

1. Foundational
  • Limited improvement capability
  • No clear plan of how improvement supports priorities
2. Building
  • High potential for improvement
  • Evidence of improvement and capability in some areas but with little consistency across the organisation
3. Refining
  • Gaining improvement momentum
  • Working towards a consistent organisation-wide improvement plan and approach
  • Some areas need support or improvement training and development to refine capability
4. Consolidating
  • Improvement leaders
  • Consistent organisation-wide improvement plan and approach
  • Strong track record of improvement planning and delivery with performance improving across a range of access, quality and safety indicators
5. Advanced
  • Innovation trailblazer
  • Widely recognised as improvement and innovation leaders
  • Clear, measurable signs of a strong improvement culture
  • Use improvement plan and approach consistently across process, quality, safety and consumer satisfaction areas

Graphic image showing OSIM maturity levels

Why use OSIM?

Improvement is most successful where health services have well-developed organisational capability. OSIM provides a structured way to consider organisational levers of improvement capability.

OSIM has been designed to enable your health services to assess and monitor organisational capability for improvement over time and set targets for the future.

Who should use OSIM?

Anyone from your service can get involved in using OSIM, from executives through to frontline staff. In fact, we recommend that staff from all levels participate to ensure:

  • a deep, diverse and informed assessment
  • an organisation-wide view, rather than making assumptions about the whole organisation
  • credibility in the OSIM self-assessment process to support executive buy-in and ownership of post-OSIM priorities and action plans.

Evolution of OSIM

OSIM was developed in 2012 and originally called the Health Improvement Capability Quotient (Health ICQ).

OSIM is managed by the Better Care Victoria Board and supported by Safer Care Victoria. We also work closely with the NSW Clinical Excellence Commission to review and update this tool.

What's in the OSIM toolkit?

OSIM fact sheet

This resource provides a brief overview of the OSIM tool and process, including how OSIM is used and the benefits of using it.
Download the fact sheet

OSIM administration guide

This guide will help your service implement the OSIM tool and interpret the outcomes.
Download the administration guide

OSIM workbook

This workbook is the tool for health services to capture their self-assessment, interpret outcomes, develop reports and record actions.
Download the workbook

OSIM slide presentation template

Use this presentation template when preparing presentations about OSIM.
Download the presentation template

Improvement and innovation plan template

This template helps health services document and track the status of any improvement and innovation activities, communicate the organisation's improvement and innovation agenda, and monitor and report progress to leadership.
Download the improvement template

OSIM toolkit

Page last updated: 29 Aug 2019

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