Poster EHMA 2024 - Adoption and Scale Up Framework for innovative interventions and its adaptation to SAVE COR

Abstract Context: SAVE-COR project, co-funded by EIT Health (EITHealth PGA220385), started in 2021 to address existing limitations in the diagnosis and treatment of arrhythmias, by introducing an innovative non-invasive cardiac mapping technology, to improve efficacy of clinical interventions, reduce costs associated and improve quality of life. One third of adults are projected to suffer at least one cardiac arrhythmia during their lifetime (Hindricks et al., 2020). Innovation is key for improving quality of care and outcomes. Furthermore, there is a need to understand the innovation adoption process and to implement systematic innovation management in healthcare covering the entire process (Flessa et al.,2021). Methods: For that purpose, the Adoption and Scale-Up Evaluation Framework was defined, improved and applied across several co-funded pre-commercial procurement, public procurement of innovation, community of practice, innovation adoption and education programme actions coordinated and/or participated by the Innovation and Prospective Unit at AQuAS (Figure 1). These steps are key to deploy and implement an innovative intervention that responds to an unmet need obtaining the expected results going through the sequential assessment of the demand needs, the market readiness and feasibility, the demand feasibility and viability and the intervention assessment and appraisal. The Adoption and Scale-Up Framework was developed as a selfevaluation tool and was completed by SAVE-COR key stakeholders specifying details and the grade of development at each stage. Results: The Adoption and Scale-up basal self-assessment showed the status of SAVE-COR interventions. The need desirability assessment domain showed additional effort was necessary to correctly define the clinical demand. Key actions were performed to define and prioritise requirements and define the different pathologies journey maps according to different stakeholders (patients, healthcare professionals and technology provider). The application of the theory of change identified the expected results and enabled the generation of the business case for SAVE-COR interventions. The assessment of the innovators readiness and feasibility showed that no further actions were required. Now, SAVE-COR interventions are ready to perform the next steps to assess the adopters feasibility and viability. Furthermore, SAVE-COR interventions were classified according to their adoption and scale up readiness level (Figure 2). Discussion: SAVE-COR project is an ambitious project aiming to define the adoptability model of a novel solution enabling to non-invasively identify the cardiac regions where a patient’s arrhythmia originates. SAVE-COR interventions adoption will impact healthcare professionals through the entire arrhythmia pathway and patient outcomes. The Adoption and Scale-Up Framework is a novel framework that allows the assessment of innovative interventions and plan key actions to prepare them for future Adoption and Scale-Up. Each domain and subdomain maturity may vary depending on the innovative intervention being assessed and who is leading it. In SAVE-COR project the leader is Corify Care, an innovative company who is looking for the strategic fit of their novel technology. The Adoption and Scale-Up Framework has the potential to be a tool to systemise innovation adoption and management in the healthcare sector. Acknowledgments: We thank the collaboration and contribution of SAVE-COR partners, particularly, Corify Care SL, Hospital Clinic Engineers and key healthcare professionals participating in the working sessions. (https://2024.ehmaconference.org/wp-content/uploads/2024/06/Abstract-Book-2024.pdf )