Lifecycle Management as a Roadmap to the Tobacco Endgame

Table 2.

A quick refresher on CMMI Levels in a publichealth policy context

CMMI Level Description Public Health / Tobacco Control Analogy

1 – Initial Unpredictable, reactive, ad hoc processes. Sporadic or pilot initiatives without systematic enforcement.
2 – Managed Projects are planned, documented, and tracked. Structured campaigns, clear program ownership, repeatable at project level.
3 – Defined Processes are standardized and integrated organization-wide. Nationally standardized policy frameworks, coordinated across agencies.
4 – Quantitatively Managed Processes are measured, monitored, and controlled with data. Performance metrics and surveillance data actively drive program decisions.
5 – Optimizing Continuous improvement based on quantitative feedback. Dynamic adaptation of programs to emerging products/threats, endgame innovation.