JUNE 20229and physician of-fice settings. A key outcome of value-based care is to improve a patient's well-being, health outcomes and level of engagement with managing their health collaboratively with healthcare providers. New app-based digital pa-tient engagement tools are expected to play a key role in this regard. In moving existing clinical models to outcome/value-based frameworks, healthcare providers could come un-der increased scrutiny with respect to being evaluated on their performance. An example of this is the type and level of post-operative recovery pa-tients will have following treatment or surgery at a particular health ser-vice, which has the potential for wide-spread application of digital transfor-mation-supported rehab therapy. This will require technology supported re-mote home monitoring, app-support-ed physical therapy exercises designed to sustain patient motivation and track progress and rapid connectiv-ity between the patient, their carer(s) and the multiple healthcare provid-ers. Wearables technologies with the capacity to not just track fitness, but to measure objective health indica-tors such as blood glucose levels, heart rate trends will likely become increas-ingly smaller and more affordable, and could continue to see intensive care unit level health monitoring ca-pacity brought to the patient's homes. This will undoubtedly see linkages to personalised health records, and multi-user accessible electronic health records. Digital transformation in the areas of data comparison tools such as accurate and real-time price transparency tools including out of pocket cost estimate tools and health services' and/or specialists' individual clinical outcomes transparency tools, will allow meaningful and informed comparisons to be made prior to, at the point of or at any time during the patient's healthcare journey. Artificial-intelligence guided de-cision support in the areas of diagno-sis, image analysis and or treatment regime recommendations is another facet of the digital transformation ac-companying value-based health care modifications. In order to enable true adoption of value-based health care systems, strong foundational infrastructure construction in information technol-ogy, inter-operability capability, cy-ber-security, assured privacy and con-fidentiality of provider and patient health data is crucial. While digital transformation may facilitate and guide our tran-sition to value-based care models, clear and committed leadership, be-havioural change in operational and clinical governance and genuine en-gagement with stakeholders cannot be overstated. Regarding and adopt-ing digital transformation within a closely aligned integrated framework with the transformation to value-based health care models could assist in the creation of a new and transpar-ent healthcare ecosystem capable of achieving value for patients, better clinical outcomes, and financial ben-efits for health providers.
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