CHIME LIVE Webinar Digital Maturity in Health Systems – The DigiM Framework and How to Use it with Sara Vaezy and Paddy Padmanabhan Learn Objectives: - Understanding digital maturity in health systems - Applying an objective, structured assessment tool such as DigiM to evaluate digital maturity - Developing a roadmap for accelerating technology-led transformation Health systems have been on a digital transformation journey for the past few years. However, there is no structured framework to assess the maturity of health systems, specifically from a technology enablement standpoint. Damo Consulting’s DigiM framework addresses this gap with an online assessment tool that helps healthcare leaders benchmark themselves against their peers. The framework also assesses the relative maturity of the digital transformation vision against the execution of the strategy. Using recently concluded research and data points from self-assessments by several health systems, this session will provide a roadmap for digital transformation leaders looking to take an objective view of their progress and prioritize their investments to meet their enterprise goals. For queries, write to info@damoconsulting.net

1. paddy@damoconsulting.net I www.damoconsulting.net
Digital Maturity Assessment &
Technology Selection
Benchmarking your digital efforts and accelerating
transformation

2. Damo Consulting: digital transformation & growth enablement
2
Confidential. Copyright 2021 Damo Consulting Inc.
Growth Strategy
Consulting
Digital Transformation
Advisory
Accelerate digital transformation Accelerate revenue growth
Healthcare
Enterprises
Technology
Vendors
Technology
Selection
Technology
strategy
Digital
roadmaps
Growth
strategy
Research &
Insights
Design &
Innovation
Strategic
Marketing

3. Author - Healthcare Digital Transformation: How
Consumerism, Technology and Pandemic are
Accelerating the Future
Paddy Padmanabhan, CEO
Chief Digital Strategy Officer
Providence Health
Sara Vaezy
Confidential. Copyright 2020 Damo Consulting Inc.
linkedin.com/in/paddypadmanabhan99
@paddypadmanabha
paddy@damoconsulting.net sara.vaezy@providence.org
linkedin.com/in/svaezy/
@noodlev
Today’s speakers

4. Damo Consulting’s digital transformation advisory services
practice is built on deep healthcare technology expertise
Digital strategy Digital roadmaps Technology strategy Digital governance
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Confidential. Copyright 2020 Damo Consulting Inc.
• Digital maturity
assessment
• Market intelligence
& benchmarking
• Digital blueprint and
investment priorities
• Digital engagement
& digital front doors
• Implementation
plan &
dependencies
• Business case and
budgeting
• Technology
architecture &
impact assessment
• Vendor research &
evaluation
• Partner selection:
RFI/RFP
• Digital transformation
program charters and
objectives
• Communications and
change management
• Business value capture

5. Q 1 2 0 2 1
Digital Maturity In
Health Systems
Annual Survey
5
Confidential. Copyright 2020 Damo Consulting Inc.

6. 6
Polling Question 1: What is your organization’s top digital
priority?
6
5 5
4
Something else Expansion of remote
care programs
Online access to care for
consumers
Improved patient
communications
Top Digital Priorities
(No. of Respondents)
© 2021 Damo Consulting Inc.

7. What are the
digitalpatient
engagement
initiatives your
organization is
currently
focused on?
(Please rank in
order of priority)
Huge focus on touchless
registration and keeping patient
at home for appts.
Much focus on tools for patient
engagement: portal, self-
scheduling, communications, billing
estimates, payment arrangements,
etc.
© 2021 Damo Consulting Inc.
7
Total respondents: 63
* Virtual consults would include virtual visits with patients as well as provider-provider consults
3.10
2.90
2.21
1.79
Real-time virtual
consults
Appointment Scheduling
and Reminders
Improved and
automated patient
communications
Online self-service tools
such as symptom-
checker
DIGITAL INITIATIVES FOCUS AREA
(AVERAGE SCORE)

8. How would you
describe your
digital platform
strategy?
We currently utilize Epic's tools
to help deliver on our digital
platform strategy.
Our EHR provides MOST tools for
our digital platform strategy, but
not all - where we use best -in -
class tools.
© 2021 Damo Consulting Inc.
8
Total respondents: 63
52.38%
31.75%
26.98%
14.29%
We use EHR as our
primary platform for
driving digital
engagement
We use EHR for core
functionalities, and look
selectively at best-in-class
tools for digital
capabilities
We are currently evolving
our digital platform
strategy
We look primarily to non-
EHR platforms and tools
for implementing our
digital strategy
DIGITAL PLATFORM STRATEGY
(% OF RESPONDENTS)
Our EHRs are relatively slow
moving in evolution terms and we
therefore need to add in additional
tools to support our digital agenda

9. What best
describes the
way your
organization
drives digital
initiatives?
The digital functions are led by the
clinical leadership with much
engagement from IT leadership
CIO works in conjunction with
Clinical and Operations leaders to
determine need and strategy
© 2021 Damo Consulting Inc.
9
Total respondents: 63
CIO works closely with our
Transformation team including
clinical design team for whole
pathway transformation and
ensuring the digital agenda is
clinically led
73.02%
22.22%
9.52%
4.76%
The CIO leads the digital
function and drives
digital initiatives
The digital function is an
additional responsibility
for one of our clinical or
operational leaders
We don’t have a
digital function
We have a full-time
Chief Digital Officer who
is responsible for digital
initiatives across the
enterprise
DIGITAL TRANSFORMATION LEADERSHIP
(% OF RESPONDENTS)
We have an organization-wide
Digital Health Committee with
participation from Marketing,
Medical, Nursing and Revenue Cycle
stakeholders involved.

10. What are the
focus areas for
the IT function
to enable digital
transformation?
We already have the infrastructure
needed for telehealth and virtual
care.
I would also add the workforce and
digital literacy as key elements
© 2021 Damo Consulting Inc.
10
Total respondents: 63
Mobile App deployment is our main
vehicle for delivering the digital
health functionality for the patients.
Use of AI and ML into workflow and
operations
2.71 2.7
2.44
2.14
Interoperability and
integration
Telehealth and virtual
care infrastructure
Data and analytics
infrastructure
Infrastructure upgrades
and cloud migration
FOCUS AREAS FOR IT TRANSFORMATION
(AVERAGE SCORE)

11. What best
describes how
you are
budgeting and
funding for
digital
initiatives?
The bulk of the expense is in the IT
budget; however,
peripherals/minor equipment used
comes from the operational
departments budget.
Some areas have digital solutions
specific to their areas, so they are
champions for finding funds to
make those purchases. They include
IT to evaluate solutions and to help
prioritize implementation
© 2021 Damo Consulting Inc.
11
Total respondents: 63
We have a mix of organizational
investment cases and Business Unit
specific investment that may in turn
become organization wide solutions
44.44%
22.22%
17.46% 15.87%
We don’t have a
separate digital budget;
it's all part of IT
budgets
We fund some digital
initiatives from IT,
others from
departmental budgets
We fund digital
initiatives mainly from
departmental budgets
based on their
priorities
We have a separately
allocated budget for
implementing
enterprise digital
initiatives
BUDGETING AND FUNDING FOR DIGITAL
INITIATIVES
(% OF RESPONDENTS)

12. 12
DigiMTM : digital maturity model for health systems*
Confidential. Copyright 2020 Damo Consulting Inc.
*Source: Damo Consulting maturity model framework
EHR as primary platform for
digital engagement
• “< EHR vendor name> is our
digital strategy”
• Focus on specific functionalities
e.g. access and scheduling, real-
time video consults
Model
Digital initiatives focused on
virtualization of care
• Telehealth, eVisits
• “Digital front doors”
• Remote monitoring
• Patient communications
Model
Stand-alone digital innovation
initiatives
• Enterprise-specific point solutions:
Homegrown and partner-developed
• Innovation programs for
commercialization of in-house
development
• Departmental initiatives: specialized
clinical needs
Model
Long term strategic bets on multi-
year investments
• Comprehensive, enterprise-level
transformation strategy
• 1-2 key strategic partnerships,
alongside EHR
• Robust governance model to
leverage startup ecosystem
Model

13. DigiM Maturity MomentumTM – Select Providers
(National)
Relative maturity levels based on strength of vision and strength of execution
13
P ro v i d e r 1
P ro v i d e r 2
P ro v i d e r 3
P ro v i d e r 4
P ro v i d e r 5
P ro v i d e r 6
P ro v i d e r 7
P ro v i d e r 8
Vision
Weak
Strong
Execution
Weak Strong
Note: Size of bubble indicates relative size of the organization in the sample

14. DigiM Maturity MomentumTM – Digital Initiatives
(select providers)
14
Not implemented Implemented
with EHR
Stand-alone tool with
FHIR/HL7 integration
Stand-alone tool
with no integration
Section Digital Initiative Provider 1 Provider 2 Provider 3 Provider 4 Provider 5 Provider 6 Provider 7 Provider 8
Digital
Front
Door
Online scheduling
Chatbot
Find-a-doc
Symptom triage
Online payment tool
Online registration
Online check-in
Wait-time estimator
Slot management
Mobile app
Video visits
Second Opinion
Confidential. Copyright 2021 Damo Consulting Inc.

15. 15
Polling Question 2: Where do you go for reliable information
on technology partner choices ? (rank in order of
preference )
18
15
10
8
Fellow CIOs and executives
in other health systems
Vendor rankings by Gartner,
KLAS, other
Colleagues within my own
organization
Prior vendor relationships,
vendor marketing collateral,
demos
Sources for Reliable Information on Technology Partner Choices
(No. of Respondents)
© 2021 Damo Consulting Inc.

16. 16
Validate self-assessment with structured
interviews and focus groups
Identify roadmap priorities and develop
business case
Identify technology partners using
DamoIntelTM digital health intelligence
database
1
2
3
Turn the
maturity
assessment
scores into
actionable
inputs
Digital Maturity Assessment Validation And Roadmap For
Future
6 weeks, 6 deliverables
☛ Stakeholder
expectations document
☛ Industry benchmarking:
list of peer group digital
initiatives
☛ Internal survey:
inventory of desired
digital programs
☛ Prioritization of
initiatives and high-level
budgets required
☛ List of potential
technology partners and
profiles
☛ Recommendations and
best practices
Turnkey consulting projects with minimal stakeholder time commitment
Fixed fee : $$
Confidential. Copyright 2021 Damo Consulting Inc.

17. Confidential.
Copyright
Damo
Consulting
Inc
DamoIntelTM
 Comprehensive, one-of-a-kind database of digital
transformation initiatives in health systems*
 Covers over 50 leading health systems, 300 technology
vendor profiles
 Digital initiatives categories by technology/application
areas
 Initiatives categorized by over 120 use
cases/functionalities
 Algorithmic curation to ensure information is reliable
and accurate
17

18. Confidential. Copyright 2020 Damo Consulting Inc.
• Transactional systems of record:
Epic, Workday
• Long-term strategic relationships
with clients
• Deep knowledge of enterprise
workflows
• Pricing model: user-based licensing
• Robust and scalable
enterprise-class platforms
• Telehealth, CRM, Cloud :
Microsoft, Google, SFDC,
AWS
• Broad implementation
partner ecosystem
• Pricing model: user-based,
consumption-based
• SI & Consulting firms: Accenture,
Deloitte, Cognizant
• Scale, expert knowledge,
healthcare focus
• Offshore-based development for
low cost
• Pricing model: T & M/fixed
price/fixed capacity
Technology
Partnerships: Damo
ICEA™ framework
Develop market strategy based
on attributes and digital
roadmap needs
by Damo Consulting
Innovators
1
2
4
3
Health
Systems
“We have the
data and the
workflow”
“We can build it
cheaper/faster/
better”
“Rent it, build on it”
“We have a whole new
way of doing it”
Assemblers Custodians
• Stand alone solution or
platform: digital health
startups
• Cloud-first, mobile-first
approach
• Small and agile teams,
often VC-backed
• Pricing model: SaaS
subscription-based
Enablers

19. Thank you!
Paddy Padmanabhan
+1 630 649 8548
paddy@damoconsulting.net
www.damoconsulting.net
Damo Consulting provides digital transformation advisory
services to enable healthcare organizations navigate the
technology-enabled transition to telehealth and virtual care. We
bring deep industry knowledge, market insights and technology
skills to help develop and implement enterprise digital roadmaps.
We work with healthcare IT and digital health firms to develop and
execute market growth strategies.
Confidential. Copyright 2020 Damo Consulting Inc.