Abstract
As a global society we have made remarkable progress over a period of two centuries to reduce mortality rates, extend life expectancy and deliver quality healthcare for many. However what has got us collectively to here will be insufficient and inadequate for the future as the Omron defined “epidemiological” transition to chronic disease continues, compounded by changing demographic trends and increasing clinician workforce shortages and attrition. Digital Health is the name of the fourth era of the use of ICT in Health and it offers much promise as a capability which can help address issues with current paradigm and accelerate the implementation of the principles of integrated care.
A new paradigm, policy and practice Stay Left, Shift Left-10X (SL2-10X) is emerging which proposes a new kind of integrated health system, powered by digital, which proposes a focus on the person, patient, wellness and providing much more care from the home, all enabled by digital technology and data. SL2-10X as a paradigm, policy and practice is in a mobilization phase with early results from living labs highly promising. A key question is how health systems and organizations can adopt and improve using the SL2-10X doctrine?.
Capability Maturity Frameworks (CMF) which describe the evolutionary maturity path of an organization, ecosystem or indeed industry as they traverse the maturity states from elementary outcomes to excellence have proven to be very useful in domains such as Software Engineering and Information Technology Management.
This workshop presents a Digital Health and Wellness CMF, using a closed loop dynamic capability approach with documented maturity states for four linked macro capabilities. The four macro capabilities are Managing Digital Health and Wellness Governance and Strategy, Managing Digital Health Budget, Managing Digital Health Capability and Managing Digital Health Value.
Applying a SL2-10X lens allows for coordinated, cohesive and compounding digital health investments and innovations. Using an Open Innovation 2.0 approach the DHW CMF can provide a shared vision, roadmap, practices, solutions and assessment instruments to accelerate the maturity of a health system and radically improve outcomes.
The DHW-CMF is informed and constructed using the nine principles of integrated care advocated by IFIC. In additions the Quadruple Aim which comprises four value vectors, improved health outcomes and care, lower cost or higher value, improved patient/clinician experience and improved patient/clinician quality of life is embedded as a core principle and measurement framework for the DHW CMF.
The DHW-CMF contains five maturity levels which align with old practice, current practice, best practice, next practice and finally future optimized practice.
The DHW-CMF enables targeted improvements to advance through maturity levels, with better business cases, better prioritisation of investments and assessment of technology management capabilities, better operational performance and an aligned integrated roadmap for longer term investments aligned with the IFIC principles of integrated care.
The DHW XMF will allow us better connect real-time health data, genomic data and health patterns embracing a full life-cycle approach to human Health & Wellness to create a situation where wellness maintenance and illness prevention are a new norm