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The Kingdom of Saudi Arabia has embarked on an ambitious journey of digitization, set by the National Vision 2030. The Saudi Health Council as the regulator of both the public and private healthcare sectors is taking part of this national digital transformation journey and driving the digitization of healthcare facilities, including medical cities, hospitals and primary care centers.
The Digital Maturity Assessment project aims to establish a framework to measure the level of digitization across the various facility types in the Kingdom and gauge their adoption of digital health technologies that support the operations at the points of care.
The framework should address all related dimensions to have a successful assessment to identify the right digital maturity levels for the required facilities.
One of the NHIC's key initiatives under “Change and enablement" section of the roadmap includes the rollout of the Saudi e-health Maturity Assessment which can be illustrated in the figure below:
This green paper released by the National Health Information Center is considered to be a discussion document intended to stimulate debate and launch a process of consultation, on the topic “National Digital Health Maturity Assessment". This green paper will present a range of ideas that are related directly to the implementation of this project and is meant to invite interested individuals or organizations to contribute views and information with regards to the matter mentioned above.
Saudi e-Health Maturity Assessment is one of the key initiatives of NHIC that is designed to achieve the center's mandate in which they require the maturity of the different facilities to be able to fully achieve the mandate items and they are as follows:
National Health Statistics: Prepare and publish national and health statistics, submit periodical statistical reports on health service activity to the Board
The Saudi e-Health Maturity Assessment (SeMA) model's objectives are described as the following:
Prior to the start of the project, a cuticle step to overcome was to build the basis of the model based on the current and latest best practices which resulted in performing a detailed research to identify the right models to be leveraged.
Moreover, the modes to be analysed were being assessed based on the following aspects to deduce key findings and lessons learnt:
Saudi e-Health Maturity Assessment (SeMA) Framework was developed and
customized to be implemented for 4 healthcare Segments which are the medical
cities, hospitals, primary care centers & specialized/ standalone centers.
Moreover, the SeMA framework model has also been built based on 4 different
pillars that considers multiple important factors to help in creating a
relevant maturity assessment framework and model and they are as follows
The Framework needs to compliment and guide the Model, the Questions and Roadmap
Also, eight core dimensions have been identified to decide on the KSA's SeMA framework outline which cover the main components that were concluded in the benchmarking stage and target are as follows:
The facility assessment process for healthcare entities covers the same steps within the KSA's SeMA model
Basic competencies and capabilities in certain areas, such as a basic HIS/EMR, limited ancillary solutions in place, limited organization & workforce competencies, no interoperability & integration, basic data analytics and privacy/security controls.
You have the basics in fundamental areas and you can get the job done but you do not realize how the right technology can enable you to perform better.
Other competencies and capabilities in certain areas such as all ancillary solutions in place. Also exploring other areas such as a digital health strategy, mature comprehensive HIS/EMR with CPOE, interoperability & integration and more advanced data analytics.
You have the basics in fundamental areas and you can get the job done but you realize the right technology can enable you to perform better.
In addition to the previous competencies and capabilities planning in other areas such as a digital health strategy, mature comprehensive HIS/EMR with CPOE, interoperability & integration and more comprehensive data analytics.
You have the basics in most areas and you can get the job done and you have started to plan and invest in the right strategy, solutions, capabilities and technology.
Advancing competencies and capabilities in certain areas in place such as a digital health strategy, comprehensive HIS/EMR capabilities such as CPOE, CDS and nursing documentation, interoperability & integration.
You have some of the right systems and processes implemented across all areas.
Advanced competencies and capabilities in certain areas such as a digital health KPIs, implementation governance, advanced HIS/EMR capabilities such as physician documentation and more advanced data analytics.
You have the right systems, processes across all areas and your people are empowered by them.
Advanced capabilities in further areas such as Closed loop technology enabled medication, Bedside Point-of-Care Integration and Predictive Analytics.
Also started to explore emerging technology capabilities such as AI, RPA and Blockchain.
You are ahead of the curve and act as an example.
Further advanced capabilities such as full mature and complete HIS, population health, patient engagement, full privacy and security controls and solutions in place. Proof of Concept and Pilot one or many emerging technology capabilities such as AI, RPA and Blockchain.
You are a leader in this area.
The assessment framework that was created has been translated to an assessment model with a list of questions for each sub-dimension. Moreover, reference to support the facilities in scoring themselves in the self-assessment is provided as well as guide them to
By July 2021, the selected facilities for undergoing the pilot execution will undergo a physical onsite verification on their submitted self-assessment, those facilities will be provided with an improvement roadmap for them to target better scores in the next assessment iteration.
Upon the compilation of this pilot phase, outcomes will be analysed and the assessment model will be updated to reflect the lessons learned as preparation for undergoing the second cycle of the national digital health maturity assessment exercise.
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
Alignment with National Strategies
Governance Bodies/Organization Structures
Financial Efficiency & Digital Operations in Supply Chain
Dimension Definition: Patient experience and population health dimension is related to patient digital engagement with the healthcare institutions and providers, as well as population health enhancement through digital channels
Population health delivery
Dimension Definition: Organization and Workforce competencies dimension is related to workflows, processes and policies automation, eHealth adoption change management, clinical safety digital procedures, workforce digital health competency and training
Workflows, Processes and Policies
Healthcare Workforce Competencies and Training
Healthcare Workforce and eHealth Training Delivery Tools
Dimension Definition: Application and infrastructure dimension is related to applications providing to users' services such as data sharing, decision making, reporting, information access, and systems providing services such as medical information processing and storage, data analytics, and more.
Asset (Including Medical Asset) Tracking & Maintenance management Systems
Disaster Recovery and Business Continuity
ED Care management Systems
Enterprise Resource Planning System Finance (ERP)
Food & Nutrition related Systems
Home care related Systems
Human Capital (ERP) related Systems
ICU Monitoring management Systems
Inpatient Care management Systems
Laboratory management Systems
Networking and connectivity infrastructure
Operations and Support
OT Perioperative related Systems
Outpatient Care management Systems
Pharmacy management Systems
Procurement and Supply Chain management (ERP) Systems
Radiology & Imaging Systems
Revenue Cycle & Billing management System
Dimension Definition: Privacy and Security dimension is related to patient electronic health information consent management and cybersecurity measures to protect against unwanted access, manipulation or sharing of medical records
Consent Management & Patient Health Information Sharing and Confidentiality
Dimension Definition: Interoperability and integration dimension is related to seamless flow of data through safely interconnected and integrated internal and external systems.
External System Integrations
National External Interfaces
Dimension Definition: BI and analytics dimension is related to the reliance on analytics to transform data into insights that drive better decision making and ultimately better healthcare outcomes
Data Storage and Retention
Dimension Definition: Emerging technology dimension is related to near term and long-term technological advancements in the healthcare sector, such as Artificial Intelligence (AI) and Internet of Things (IoT), that could be leveraged for improved healthcare education, training, and services provision
Artificial intelligence/Machine learning/ voice recognition / chat bots
Integration with wearable devices / IOT
Personalized Medicine System
Robotic Process Automation (RPA)
Digital Building Management Related Systems
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Disclaimer: Translation into other languages depends on the Google translation, Therefor the NCC is not responsible for the accuracy of the information in the new language.