# Selling the Return on Investment for Digital Health

## TL;DR

The paper discusses how digital health tools should be evaluated based on their return on investment and integration into existing healthcare systems.

## Contribution

The paper introduces a framework for evaluating digital health tools through expert panel discussions and practical considerations.

## Key findings

- Health systems should assess if a digital tool solves an institutional problem.
- Integration into existing workflows and electronic health systems is critical.
- A clear return on investment and understanding of patient and provider engagement are necessary.

## Abstract

Advancing digital health requires a realistic conversation that moves past innovation and evaluates digital tools the same as any other device being introduced into the health system. There needs to be a focus on return on investment.

As part of a symposium, we presented hypothetical pitches to an expert panel. The experts include representatives from health systems, payers, and investors. The pitches were related to remote patient monitoring, tele-triage in the emergency department, and comprehensive in-patient telemedicine program including virtual sitting and e-nursing.

Although each pitch led to a different discussion, there was uniform agreement that health systems should focus on whether the proposal helps solve an institutional problem; the payment model in which the product can be used (value-based, fee-for-service, or both) needs to be identified; fitting the new product into preexisting workflow (included electronic health system integration) is critical; there needs to be an understanding of whether patients and providers engage with it; and there needs to be a clear return on investment.

Navigating complex decision-making in health care requires a blend of strategic foresight, practical considerations, and a deep understanding of organizational dynamics. Rather than a specific strategic plan focused on digital or virtual care, there should be a focus on the enterprise strategic plan and how can digital enable that.