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Strategy and Governance

Dimnsion Definition: Strategy and Governance dimension is related to a clear understanding of the digital health strategy across leadership and governance across the organisation, alignment with national eHealth strategies and initiatives, and eHealth partnerships

Scope:

This dimension is related to a clear understanding of the digital health definition, vision and purpose, in addition the national, regional and local digital health strategic direction for the healthcare entities.
It also means that there is willingness to invest and funding available to support the strategy.
Also, the related governance bodies/committees to manage and implement the key initiatives from the strategies.

Relevance to SeMA:

Identify the Digital health baseline within the healthcare provider facilities within the strategy and governance dimension
Identify the Digital Health maturity levels/scores and any gaps in the baseline within the strategy and governance dimension
Propose Digital Health areas of improvements and suggestions in the baseline within the strategy and governance dimension

Key Criteria:
Alignment with KSA national Digital Health strategies
Defined facility level Digital Health initiatives aligned with national strategies and initiatives
Defined and well-planned facility level digital health roadmap with clear timelines, dependencies and relevant funding planning

Sub-Dimensions:

5.1.1 Clear Vision and Leadership Alignment

5.1.2 Defined Strategy

5.1.3 Alignment with National Strategies

5.1.4 Governance Bodies/Organization Structures

5.1.5 Partnerships

5.1.6 Financial Efficiency & Digital Operations in Supply Chain

Assessment Questions

Defined Strategy

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	Which of the following components are covered by your digital health strategy if a strategy exists?	-Goals/Objectives - Mission - Roadmap - Success Criteria - KPIs - None	Your digital strategy / digital health strategy is not properly detailed, and documented, and it is missing goal/objectives, mission, roadmap, success criteria or KPIs	Your digital strategy / digital health strategy is clearly defined and detailed, and documented. digital strategy / digital health strategy includes goal/objectives, mission, roadmap, success criteria and KPIs	Provide a Digital Strategy document that has the following typical components of a strategy (Goals/Objectives Mission Roadmap Success Criteria KPIs)
	How often does your organization review the digital health strategy?	- Quarterly - Half Yearly - Yearly - Bi Yearly - More than Bi Yearly	Digital strategy never reviewed	Continuous review and renewal, with changes communicated, agreed and acted upon at a senior level.	Please attach a document that represents a review session (Session outputs, decisions or Minutes of meeting)
	Does the digital strategy account for the healthcare overview of the Saudi population, such as chronic/preventative care, change management and supply & demand shifts?	- Yes - Partially - No	Digital strategy does not account for the KSA population's overall medical trends	Digital strategy accounts for population health, chronic/preventative care, change management and supply & demand shifts	Please highlight the evidence in the digital strategy where it accounts for population health, chronic/preventative care, change management, and supply & and demand shifts in terms of content (screen sample or attachment)

Alignment with National Strategies

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	Identify which national strategy is aligned/ partially aligned with the existing digital strategy?	- Vision 2030 - HSTP Data & Digitalization Strategy - National Transformation Strategy NTP 2020 - ACO Playbook (Accountable Care Organizations) - New MOC (Model of Care) - MOH eHealth Transformation - National Initiative NHO (National Health Observatory) - National initiative STN (Saudi Telehealth Network) - National initiative BD (Balanced Distribution) - None	Digital strategy is incongruent with National Strategies	Digital strategy is aligned with National Strategies	Highlight in the digital strategy document which national strategy has been aligned with in terms of objectives and capabilities (Screen sample or attachment)

Clear Vision

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	Do internal stakeholders in your company have a clear knowledge on the digital strategy and its objectives?	- Yes - No	Limited clarity on digital strategy	All stakeholders (internal/external) clear on business objectives for digital strategy. Key stakeholders and sponsors express the same vision, direction and aspiration for transformation program	Please provide a screen sample of an email that shows the digital strategy distribution or a screen sample of a poster used to familiarize people within the organization about the digital strategy
	Is Digital transformation part of your corporate strategy?	- Yes - No	Digital transformation not a part of corporate strategy	Digital transformation is a key element within corporate strategy.	Please highlight the evidence within your corporate strategy that shows digital transformation has been accounted for in the corporate strategy (Could be through the strategy's objectives, KPIs, Initiatives, etc...)
	Are there measurements in place to track the progress in the field of digitization?	- Yes - No	No measurements in place	Measurements are in place to track the progress in the field of digital	Please highlight or provide documented evidence (Mainly KPIs) that tracks the digital progress within your organization

Leadership Alignment

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	The level of Support to digital projects by Executives and Senior managers is considered to be:	-High -Relatively high -Medium -Somehow low -Low	Senior management do not value digital initiatives	Sponsorship from senior management who fully understand and champion digital initiatives. Chief digital officer is on the company's board	Please provide a screen sample or an attachment (meeting minutes or Emails) of decisions and/or discussions that came out from senior management personnel that show the support to digital projects
	The level of knowledge and experience in digital projects that executives and Senior managers have is considered to be:	-High -Relatively high -Medium -Somehow low -Low	Senior management and leadership have no expertise in the digital area	Specialist experience is represented at a senior level (in particular at the board level), with all senior management fully knowledgeable and aware of the importance, workings and implication of digital initiatives.	Please provide a screen sample or an attachment (meeting minutes or Emails) of decisions and/or discussions that came out from senior management personnel that show the deep engagement in digital initiatives and projects

Governance Bodies/Organization Structures

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	Does your organization have a dedicated digital function with clear roles and responsibilities that are reviewed periodically?	-Yes, and gets reviewed periodically - Yes, it is not reviewed periodically - No, the role does not exist	No independent digital function.	A dedicated digital function is established with clear roles and responsibilities that are reviewed periodically.	Please highlight where this function exists in one of the organizational structures that your organization obtain (screen sample or attachments)
	Do you have defined and documented digital policies and procedures that are being regularly reviewed?	- Yes, and gets reviewed periodically - Yes, but it is not reviewed periodically - No, the role does not exist	No digital policies and procedures in place	Digital policies and procedures are defined, documented, implemented, and regularly reviewed.	Please attach a sample of those digital policies and procedures
	Do you have any general system disaster recovery processes and procedures documented, implemented and regularly reviewed?	- Yes, and gets reviewed periodically - Yes, it is not reviewed periodically - No, the role does not exist	No system disaster recovery policies and procedures in place	Systems disaster recovery policies and procedures documented, implemented and regularly reviewed	Please attach a sample of those disaster recovery policies and procedures
	Are simulated Disaster Recovery events regularly conducted?	- Yes - No	Disaster Recovery events never conducted	Disaster recovery events regularly conducted	Please attach a time schedule or a document that proves the regular conduct of disaster recovery events.
	Is a long-term downtime process clearly defined?	- Yes - No	No downtime process in place	A long-term downtime process is clearly defined and documented	Please attach the documented long-term downtime process adopted by your organization
	Do you have a defined system rebuild process?	- Yes - No	No system rebuild process in place	System rebuild process is clearly defined and documented	Please attach the documented System rebuild process adopted by your organization

Partnerships

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
	Do you use digital tools to collaborate and share knowledge with your suppliers, regulators, and customers or conduct remote discussions and consultations between healthcare professionals outside the facility?	- Yes - Partially - No	There is no collaboration, or sharing of knowledge with suppliers, regulators, or patients or conducting remote discussions and consultations between healthcare professionals outside the facility	Collaboration and sharing of knowledge do exist with suppliers, regulators, or patients or conducting remote discussions and consultations between healthcare professionals outside the facility using digital tools	Please provide the name and a screenshot of the digital tool/s used for the collaboration
	Do you engage with healthcare peers to collaborate and learn from their experience in digital projects implementation and operation?	- Yes - No	No collaboration or cross checking of work with any healthcare peer	Before any digital project kick-off, the institution conducts reference check and engages with peers and learn from their experience in implementing these projects. In terms of operations, the institution cross checks its current digital operations with peers to identify areas of improvement	Please attach the scope of work of a project that was done in collaboration with other healthcare peer/s
	Do you collaborate in digital medical research and publication?	- Yes - No	No collaboration with partners for digital access to medical resources	Participation / collaboration with partners for digital access to medical research and publication content	Please attach a sample of the digital publication/s issued by your organization
	Does your facility have any of the following accreditations?	1 - Central Board for Accreditation of Healthcare Institutions (CBAHI) 2 - Joint Commission International Accreditation (JCIA) 3 - Accreditation Canada (AC) 4 - Commission on Accreditation of Rehab Facilities (CARF) 5- None	The Facility has none of the following accreditations: 1 - Central Board for Accreditation of Healthcare Institutions (CBAHI) 2 - Joint Commission International Accreditation (JCIA) 3 - Accreditation Canada (AC) 4 - Commission on Accreditation of Rehab Facilities (CARF)	The Facility obtains one or more of the following accreditations: 1 - Central Board for Accreditation of Healthcare Institutions (CBAHI) 2 - Joint Commission International Accreditation (JCIA) 3 - Accreditation Canada (AC) 4 - Commission on Accreditation of Rehab Facilities (CARF)	Please attach the selected certifications

Financial Efficiency & Digital Operations in Supply Chain

#	Assessment Elements	Answer Options	What looks immature	What looks mature	Evidence Type
20.	Is there a financial strategy to support the investment in digital technology you require over the next 2-3 years?	- Yes - No	Lack of availability of a financial plan	Financial plan (2-3 years) finalized and agreed upon by leadership to support the investment in required digital technologies	Please attach evidence that shows that digital technology has been considered as part of the financial plan (2-3 years) (Highlight in the document without showing financials)
21.	Are there processes in place to examine and evaluate investment in digital technology and support ideas through to implementation?	- Yes - No	No such processes in place	Processes are defined, documented, and regularly reviewed	Kindly show evidence of a documented process that shows the evaluation criteria of digital technology investment
	Are Financial analysis activities such as (Measuring the profitability of a specific service, Identifying and assessing your organization's value drivers, predicting future demand on services. measuring shareholder value etc...) automated and performed digitally?	- Yes - Partially - No	Financial analysis activities are performed occasionally and manually	Financial analysis activities are automated and performed digitally	Please provide a screen sample of the digital tools used for automating the financial analysis activities
	Are there examples of leveraging data-driven digital solutions that have brought different types of financial and supply chain operations-related improvements (enhancing financial decision-making, Optimizing inventory stock...etc)?	- Yes - No	There are no examples of leveraging any data-driven digital solutions to drive overall financial and supply chain improvements	There are examples of leveraging data-driven digital solutions to drive overall financial and supply chain improvements	Please provide a screen sample of one of the data-driven digital tools used
	Which of the following applies with regards to your application in the supply chain operations?	- There is a use of sensors, RFID, or barcodes in operations such as inventory management - The use of advanced robotics exists in the supply chain operations - Advanced analysis are used for performance improvement and service level measurement - None	There is a minimal / no use of robotics, sensors and advanced analytics in the supply chain operations	There is a use of RFID or barcodes, robotics, sensors and advanced analytics in the supply chain operations	Kindly provide the name of the devices/ tools used and provide a screen sample
	Which of the following characteristics are covered in your corporate's strategy with regards to the supply chain digitization:	- Higher flexibility (Ad hoc and real-time planning that allows a flexible reaction to changing demand or supply situations) - More granular (Clustering of products and consumers based on demand) - Higher Accuracy - Higher efficiency - None	The strategy does not cover any aspects related to efficiency, accuracy or higher flexibility	The strategy includes objectives/ directions that covers higher flexibility, More granularity, higher accuracy, and higher efficiency	Please highlight within the corporate strategy evidence of the presence of any of the following in options in the answers of this question (Screen Sample or Attachment)
	Which of the following main drivers are considered to be digitized in your organization	- Supply Chain strategy - Planning - Physical flow of items - Performance management - Order management - Collaboration - None	No/ few of six value drivers of Digital supply chain are not digitized	The six value drivers of Digital supply chain are digitized	Please highlight within the corporate strategy evidence of the presence of any of the following in options in the answers of this question (Screen Sample or Attachment)