On Technology Adoption Scaffolding in Healthcare

Health systems are investing aggressively in digital tools, yet many continue to experience a persistent value realization gap because the limiting factor is not innovation supply, but enterprise infrastructure maturity, namely the ability to absorb, scale, and sustain new capabilities beyond controlled pilots. This publication distinguishes technology acquisition from value enablement, and advances an “adoption scaffolding” model anchored by a compact Capability Engine that builds durable operational foundations, spanning people, systems, software infrastructure, and modular governance. It then outlines a structured, four-layer lifecycle architecture, comprising controlled experimentation environments, integration frameworks that redesign workflows and standardize data, monitoring solutions that create real-time operational intelligence, and value realization models that quantify impact through baselines and attribution, thereby converting fragmented deployments into a repeatable system for disciplined scaling and sustained performance.