We implemented the NISPs last Feb-Apr.
Basically the same. Implemented the NISPs, then gutted and reorganized every procedure with duplicate info. It's a slow process. We're still occassionally finding parts in a procedure we missed and need to rev. Luckily people from my company had considerable input in writing the NISPs so adapting hasn't been too crazy. Though we have been forced to roll back some of our methods for being too extreme and going against DNP.