Sustainable healthcare improvement begins with cultural change.

Sustaining meaningful change over time requires attention to both culture and professional practice. The Elsevier Clinical Practice Model Framework, culture and professional practice framework, provides a scalable framework to guide sustainable healthcare transformation. The Framework has been developed, tested, validated and refined with hundreds of hospitals across the U.S. and Canada through the Clinical Practice Consortium.

The Framework, is supported by core beliefs, principles, theories and healthcare best practices that have all been synthesized into concise models that help clinicians and leaders effect sustainable change across the healthcare organization. This transformation leads to positive outcomes for patients and their families, caregivers and the healthcare community at large.

The Core Beliefs unite our Consortium members around what matters most and hold healthcare leaders to the highest of standards. The Principles [Dialogue, Partnership, Polarity] strengthen our partnering relationships and decision making, and weave themselves throughout the entire framework. The Theories [Systems Thinking, Complexity Science, Socio-Technical] form the foundation of the Framework and guide the practice. These elements are included in, and foundational to, all six models within the Framework.


1. The Health and Healing Care Model is a patient- and family-centered holistic model of care that supports health and healing across the continuum of care. It assures a respectful, caring and safe environment that supports those who give and receive care.

2. The Partnership Culture Model represents both the infrastructure and staff engagement environment necessary to deliver professional care in a transformed healthcare world, and a culture of partnership in the organization and community.

3. The Interprofessional Integration Model is a model for integrating the processes of care that emphasizes individual and integrated practices at the point of care. This calls for partnership between all members of the healthcare team to coordinate, integrate and deliver healthcare across the continuum.

4. The Applied Evidence-Based Practice Model is an interprofessional practice model designed to support care providers in clinical decision making and in applying best practices at the point of care. It makes available more than 300 clinical practice guidelines and additional evidence-based documentation directly to the practitioner at the bedside.

5. The Health Informatics Model brings the theoretical underpinnings of the data, information, knowledge and wisdom concepts to the CPM Framework. This model assists organizations in managing the practice-technology polarity and linking clinical and informatics leaders with the bedside practitioner, patient and family.

6. The International Consortium Model gathers together a group of like-minded organizations who unite around a common vision for sustainable healthcare transformation through the use of the CPM Framework. Organizations participate in collective and scholarly work to advance practice and learn from each other.

The Framework represents the most comprehensive system of proven clinical practice models available today for improving patient safety, enhancing the efficiency and effectiveness of the care process and building true interprofessional, evidence-based care.

Our Care Planning and Professional Practice Services solutions are based on the Framework to include the highest quality clinical content and documentation to support evidence-based practice transformation, in addition to offering organizational strategies and tactics to support healthy and sustainable cultural transformation.

Have more questions about the Framework? Contact us.