PRISM External Environment

Elements relevant to the external environment may be some of the most powerful predictors of success and therefore are key to implementation and maintenance. The External environment includes factors such as policies and regulations, financial incentives or disincentives, clinical practice guidelines, and historical considerations.

Market forces such as payor satisfaction, especially when compared to satisfaction with the competition, can help accelerate change. The organization’s “public face” is also affected by regulatory, accreditation, or reporting authorities.

Reimbursement and coverage issues also serve as a powerful motivator of provider, health care organization, and patient behavior. Community resources available to assist with interventions can help make a complex intervention affordable for organizations.