KIWI framework

: from smart hospitals to smarter hospitals : case report on the future hospital in Madeira

Abstract

Faced with evolving healthcare complexity, costs and clients’ expectations, future hospital management must find ways to use digital technology appropriately and be smarter. Four pivotal elements: Knowledge, Intelligence, Wisdom, and Interoperability (KIWI) must be well balanced. This qualitative case study uses the conceptual underpinnings of the KIWI framework for hospital maturity, in an attempt to see how it can better serve organizations to evolve from the traditional Smart Hospital models. The study centres on the developmental plans of the forthcoming Hospital Central e Universitário da Madeira (HCUM) planned to be a new digitally advanced facility. It aims to offer a nuanced analysis beyond conventional Smart Hospital paradigms and identify action lines to address key challenges. Given that this project is slated for completion in five years, the primary emphasis has been on interviewing individuals who possess the highest understanding and expertise in this field, along with those holding the highest positions of responsibility. In-depth interviews, including one with the person introducing the KIWI concept to Madeira, ensure a high level of accuracy in capturing overarching plans. Findings underscore the KIWI framework as useful way to consider the future paradigm of health organizations. HCUM emerges as a proactive participant in this transformative shift, aspiring not only to embrace the KIWI model but also to serve as an exemplary institution. Despite challenges, this research offers valuable insights, contributing to the realization of the hospital's vision as a pioneering institution.

Date of Award	1 Feb 2024
Original language	English
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Henrique Martins (Supervisor)