PPMI has proven to be elusive and at times overwhelming at our institution. One strategy we have incorporated is breaking down the various recommendations into categories such as:
1. already achieved
2. have plan in place
3. pending plan initiation
4. unsure how to get started
This has helped us to see where we are and where we need to go as well as highlight uncertainties with some of the recommendations. A great example is the medication reconciliation portion that fit beautifully with a plan we were already working on to have our inpatient EMR communicate with our outpatient office based EMRs so when someone is discharged all the medication changes are automatically updated in their primary care physician's office based EMR. Since this was already in the works it was simple to apply this to PPMI.
Others have not been that simple but we are making progress with each step and plan.