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Risk Management Maturity Model

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RM3 model and framework

RM3 is being developed as a shared way to describe what effective medical product risk management looks like, so that organizations can assess where they are and decide how to improve. This page sets out the model itself.

Why RM3

Why RM3

1

Compliance and outcomes are not the same thing

Organizations may comply with ISO 14971 and ICH Q9 while their practices and outcomes still vary significantly. Risk management can remain compliance-driven, fragmented, and focused on documentation rather than decisions.

2

QMSR raises the expectation

With QMSR, the expectation is elevated: risk management is expected to be integrated, consistent, and effective across the quality system. That raises a practical question the model exists to answer: what does effective risk management actually look like, and how would an organization measure it?

3

New technologies demand faster decisions under uncertainty

AI-enabled systems, combination products, and other emerging medicinal technologies are evolving quickly, and they require faster, higher-confidence decisions under uncertainty.

4

Organizations need a shared benchmark

Teams repeatedly ask what good, and great, risk management looks like, and whether a benchmark exists to assess where they are and how to improve. RM3 is being developed to answer that.

Concept

Concept and strategy

First principles and stakeholder needs together shape what RM3 is for. RM3 Purpose then defines the intent of the RM3 Manual, and a set of companion resources supports implementation outside the Manual itself.

First Principles

First principles of safety, first principles of risk management, and the application of first principles in risk management.

inform and alignFirst Principles inform and align RM3 Purpose.
provide governing logicFirst Principles provide the governing logic of the RM3 Manual.

RM3 Purpose

Purpose
Why RM3 exists
Mission
What RM3 is intended to drive
Vision
What RM3 aims to achieve
Success criteria
How success is measured
defines intentRM3 Purpose defines the intent of the RM3 Manual.

RM3 Manual

  1. Guiding principles
  2. Overall maturity levels
  3. Domain architecture
  4. Maturity assessment method
inform and alignStakeholder needs inform and align RM3 Purpose.

Stakeholder Needs

  • Industry professionals
  • Global regulators
  • Standards organizations and industry associations
inform and alignStakeholder needs inform and align the supporting implementation resources.

Supporting Implementation Resources

  1. Maturity implementation guide
  2. Technical practice guides, templates, and maintenance process

Companion resources that support implementation outside the RM3 Manual.

RM3 concept and strategy architecture. First principles inform and align RM3 Purpose and provide the governing logic of the RM3 Manual. Stakeholder needs inform and align RM3 Purpose and the supporting implementation resources. RM3 Purpose, which sets out purpose, mission, vision, and success criteria, defines the intent of the RM3 Manual, which contains guiding principles, overall maturity levels, domain architecture, and the maturity assessment method. Supporting implementation resources sit outside the Manual.
First principles

First principles of risk management

These four principles define what must be true for risk management to be effective. They are distinct from the ten RM3 guiding principles, which translate stakeholder-derived objectives into operating commitments.

FP-R1
Risk management integrates inversion and causal thinking into decision-making.
FP-R2
Risk is evaluated in relation to objectives, context, consequences, and uncertainty.
FP-R3
Risk management is lifecycle-based, decision-driving, and control-effectiveness focused.
FP-R4
Risk management decisions require justified confidence.
Decisions

Risk-informed decision architecture

Risk management is not a separate documentation exercise. Forward thinking and inversion thinking feed the same decision, that decision is weighed against objectives, context, and consequences under uncertainty, and it is integrated across the product lifecycle.

Forward thinking

How do we achieve success?

Inversion thinking

What could cause failure or harm?

Risk-informed decisions

Made under uncertainty, and evaluated through three lenses before they are relied upon.

  1. Objectives

    What the decision is meant to achieve

  2. Context

    The conditions the decision is made under

  3. Consequences

    What follows if it is wrong

Integrated across the lifecycle

  1. Design & development
  2. Manufacturing
  3. Post-market
  4. Lifecycle change

Lifecycle learning returns to future decisions

Risk-informed decision architecture. Forward thinking asks how success is achieved and inversion thinking asks what could cause failure or harm. Both feed risk-informed decisions, which are made under uncertainty and evaluated through three lenses: objectives, context, and consequences. Those decisions are integrated across design and development, manufacturing, post-market, and lifecycle change, and what the lifecycle learns returns continuously to future decisions.

Maturity levels

RM3 describes five overall levels of maturity. Each level describes how an organization reasons, decides, and evidences its decisions, not how much documentation it produces.

L1Ad HocL2DefinedL3IntegratedL4OptimizedL5AssuredL1Ad HocL2DefinedL3IntegratedL4OptimizedL5Assured

RM3 maturity ascends through L1 Ad Hoc, L2 Defined, L3 Integrated, L4 Optimized, L5 Assured. Each level is drawn as a more complete structure than the one before it; only the final level, Assured, carries the validated green state.

The five RM3 maturity levels.

  1. L1

    Ad Hoc

    Reactive, siloed, surprises

    • Reactive
    • Fragmented
    • Siloed
    • Limited visibility
  2. L2

    Defined

    Documented, inconsistent execution

    • Documented processes
    • Emerging repeatability
    • Inconsistent execution
    • Limited feedback
  3. L3

    Integrated

    Cross-functional, traceable, aligned

    • Cross-functional integration
    • Traceability
    • Lifecycle linkage
    • Aligned evidence
  4. L4

    Optimized

    Proactive, prevention-focused, predictable

    • Proactive prevention
    • Leading indicators
    • Predictability
    • Early action
    • Learning from data
  5. L5

    Assured

    Strategic, first-principles, continuous evidence

    • Strategic integration
    • First-principles reasoning
    • Continuous evidence
    • Adaptive learning
    • High justified confidence
Manual

RM3 Manual structure

At the June 5, 2026 IMSC panel, the RM3 working group reported that the RM3 Manual V1.0 draft was ready for broad community review and comment. The Manual is a working draft, not a finalized standard.

RM3 Manual

  1. 1Guiding Principles
  2. 2Overall Maturity Levels
  3. 3Domain Architecture
  4. 4Maturity Assessment Method

Supporting implementation resources

  1. 5Maturity Implementation Guide
  2. 6Technical Practice Guides, Templates & Maintenance Process

Companion resources that support implementation outside the scope of the RM3 Manual.

Vision

Vision and success criteria

RM3 is the shared benchmark and best-practice roadmap for risk management excellence across pharmaceutical, medical device, and combination product organizations, recognized worldwide for enabling safe and effective outcomes for patients.

The working group has set two criteria for what success would look like. Neither describes the position RM3 holds today; both describe what it is working toward.

Risk Management Maturity Model
RM3 is recognized by industry as a benchmarking playbook that helps organizations assess and improve risk management practices.
Risk Management Maturity Index
RMMI is recognized by industry as a practical indicator of organizational confidence in product safety and effectiveness.

The RM3 working group seeks to define, maintain, and evolve a first-principles-driven risk management maturity model grounded in First Principles of Safety and aligned with stakeholder needs.

RM3 participation

Participate in RM3 to support first principles-based best practices for medical product risk management.

Participate in RM3