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Developing and implementing pathways to better healthcare outcomes.


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 by helping people optimize processes, including leverage 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 to improve healthcare outcomes.  He pioneered an evolving Health Service Blueprint toolkit (key component here) that has been published on several government websites (e.g., this HRSA-funded Guide to Improving Care Processes and Outcomes. These strategies and tools have informed many care transformation initiatives and roadmaps Osheroff has led.


Osheroff / TMIT efforts are culminating in the Accelerating Care Transformation (ACT) Initiative, launched in late 2023. 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.


Some of the foundations for ACT include:


For more information about ACT, including Steering Committee and charter, see here.​

The Most Important Thing is to find out what is the most important thing Shunryu Suzuki

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