TMIT Consulting, LLC · Founded 2011
Developing and implementing pathways to better healthcare outcomes
Jerome Osheroff, MD, FACP, FACMI has spent over three decades synthesizing and applying best practices for improving care delivery and health outcomes — helping people optimize processes, including leveraging technology better. The culmination of this work and springboard for what's ahead is the ACT Initiative.

Jerome A. Osheroff, MD
FACP, FACMI
Founder and Principal, TMIT Consulting
ABOUT
TMIT Consulting was founded in 2011 by Jerome Osheroff, MD, FACP, FACMI. He has worked passionately to transform care toward the Quintuple Aim for over 3 decades.
He is a widely recognized leader in synthesizing, disseminating, and applying best practices for improving care delivery and health outcomes by helping people optimize processes, including leveraging technology better.
Osheroff created the influential Clinical Decision Support (CDS) 5 Rights framework and is lead author on 3 best-selling, award-winning guidebooks on putting this framework into action. He pioneered a target-agnostic framework and worksheets for reengineering health and care-related workflows - with key building blocks for driving transformation (overview here). These have been used successfully in many public and private funded care transformation initiatives addressing different improvement targets (see draft listing and summary here) and continue to evolve as an ACT initiative centerpiece.
MAIN FOCUS: THE ACT INITIATIVE
Osheroff / TMIT efforts are culminating in the Accelerating Care Transformation (ACT) Initiative, launched in late 2023 (launch summit slides). ACT is helping to cross-fertilize and enhance work by other initiatives to accelerate care transformation and learning health systems. The goal is better care processes for acute and chronic conditions and preventive care, starting with targets urgently needing improvement. ACT's vision is "Best healthcare for everyone, everywhere.
Some of the foundations for ACT include:
-
Roadmap for National Action on Clinical Decision Support — presented to HHS Secretary in 2006
-
CDS Collaborative for Performance Improvement — formed in 2011 to help care delivery organizations and their partners 'Get better faster, together'
-
AHRQ evidence-based Care Transformation Support Initiative — produced detailed future vision, concept demonstration, and execution plan 2018–21
-
LHS Collaborative — stakeholder-driven initiative to execute the ACTS Roadmap after AHRQ funding ended; formed the Pain/Opioid LHS Learning Community (POLLC). POLLC and the Collaborative spawned ACT.