The document discusses the importance of developing a continuous improvement plan for clinical and safety systems after an initial implementation. It recommends establishing a change control board to define enhancement processes, sources of input like user feedback, and how to manage, prioritize, and schedule enhancements. The plan should start prior to go-live and include recurring meetings to refine the enhancement list and ensure users have time to use the system before additional releases. This helps provide ongoing support and flexibility to adapt to changing business needs.