Pilots

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  LP - ProMIS - PolicyParley for Digital Skills System Adoption

  The PolicyParley for Digital Skills System Adoption pilot, led by ProMIS, aims to address one of the most critical challenges in the Italian healthcare system: the effective integration and scaling of digital skills and digital health innovations across regions. Despite strong national strategies and increasing investments in digital health, the system remains fragmented, with uneven levels of digital readiness and limited coordination between key actors such as regional authorities, Local Health Authorities (LHAs), ICT departments, training units, and clinical leadership.

  
  

  This pilot responds to these challenges by designing, testing, and validating a structured governance and adoption pathway based on the PolicyParley methodology. Its core objective is to enable Italian Regions—starting with a focus on the Veneto Region and expanding across the ProMIS network—to systematically embed digital skills programmes into routine organisational processes, training systems, and service delivery models.

  
  

  The pilot is built around a multi-phase approach. In the Discovery phase, ProMIS will map stakeholders, assess current digital skills initiatives, and identify governance gaps and systemic bottlenecks. This evidence will inform the Definition phase, where multi-stakeholder PolicyParley workshops will bring together decision-makers from ICT, HR, training, and clinical domains to co-design a shared “Digital Skills Adoption Pathway.” This pathway will define governance roles, decision-making processes, organisational requirements, and priority use cases such as building a telemedicine-ready workforce.

  
  

  In the Development phase, the pathway will be tested in a selected Alpine Region, allowing for real-world validation and refinement through iterative PolicyParley cycles. Data will be collected to assess feasibility, alignment, and implementation barriers. Finally, in the Delivery phase, the pilot will produce a comprehensive Adoption Playbook, including KPIs, templates, and operational guidance, and will support scaling across additional Regions (Expansion Zones) and integration into broader HACK-IT-NET activities.

  
  

  The pilot is expected to generate several key outcomes. It will deliver a validated governance model for digital skills adoption, improve coordination across regional departments, and establish shared indicators linking digital training to system-level performance improvements such as service efficiency, accessibility, and telemedicine uptake. Moreover, it will strengthen the capacity for technology transfer and support the transition towards Green & Digital Hospitals by enhancing digital literacy and streamlining workflows.

  
  

  By operationalising PolicyParley as a governance engine, the pilot fosters cultural and organisational change, enabling more coherent decision-making and long-term sustainability of digital transformation efforts. Ultimately, it will serve as a reference model for Italy and contribute to transnational knowledge exchange, supporting scalable and harmonised approaches to digital health innovation across the Alpine Space.

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  PP2 - Autonomous Province of Trento - PAT - Dialogues4SI – Dialogues for Social Innovation

  The Dialogues4SI – Dialogues for Social Innovation pilot, implemented by the Autonomous Province of Trento, aims to strengthen the integration between healthcare services, social care systems, and community-based actors through a collaborative governance approach supported by digital innovation. The pilot focuses on developing a structured framework for the adoption of digitally enabled social innovation tools within the provincial healthcare ecosystem, with particular attention to the integration of social prescribing models.

  
  

  The Province of Trento operates within a highly integrated socio-health system, coordinated by a single healthcare trust and supported by a strong territorial network of social services, community organisations, and social economy actors. The local welfare model emphasises proximity-based care, delivered through community hubs and supported by an extensive ecosystem of cooperatives, voluntary organisations, and associations. These actors play a key role in ensuring accessibility of services, promoting social inclusion, and identifying emerging vulnerabilities within communities.

  
  

  Despite this well-established collaborative ecosystem, the integration of innovative approaches such as social prescribing requires a more structured governance framework capable of connecting healthcare services with territorial and community-based resources. The pilot builds upon the experience of the EU-funded C.O.P.E. project, which successfully tested social prescribing as a tool to support young people in NEET situations through personalised pathways linking healthcare services with social, educational, and employment opportunities. The ongoing C.O.P.E.+ initiative aims to extend this model to additional population groups across the Trentino region.

  
  

  Within this context, the pilot will act as a testing ground for strengthening collaboration among healthcare institutions, social services, social economy actors, and policymakers involved in the implementation of the C.O.P.E.+ approach. Through the PolicyParley methodology, the pilot will facilitate structured dialogue among stakeholders to co-design governance mechanisms that support the sustainable integration of social innovation tools into the healthcare system.

  
  

  The intervention will include a series of focus groups, consultations, and stakeholder workshops involving policymakers, healthcare professionals, social workers, social economy organisations, and link workers trained in the C.O.P.E. project. These activities will aim to identify barriers and enabling factors for the adoption of digitally supported social prescribing models, while defining operational strategies to integrate community-based resources into formal healthcare pathways.

  
  

  A key component of the pilot will be the development of a social innovation framework that embeds the contribution of Third Sector actors and social cooperatives into the governance structure of local healthcare services. Particular attention will also be given to the interoperability between healthcare digital platforms and territorial service management systems, ensuring that coordinated care pathways can be supported by secure data exchange and compliant information flows.

  
  

  The expected outcomes include a better understanding of stakeholder needs, the identification of governance barriers and enablers, and the development of organisational models capable of improving service delivery, particularly in areas such as mental health and social inclusion. Ultimately, the pilot will contribute to strengthening system-level coordination and improving the accessibility and effectiveness of integrated care pathways in the Province of Trento, while creating a framework that could be adapted and replicated in other territorial contexts.

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  PP3 - Health Agency of Lower Austria - Sustainable Transformation of Healthacross MED Gmünd

  The pilot implemented by the Health Agency of Lower Austria focuses on developing a comprehensive sustainability concept for the healthcare center Healthacross MED Gmünd, aiming to improve both ecological sustainability and workforce resilience while enhancing service efficiency and patient-centered care.

  
  

  Healthcare systems in rural Alpine regions such as Lower Austria face a combination of structural challenges, including demographic change, workforce shortages, and increasing demand for complex care services. An ageing population and rising levels of multimorbidity place growing pressure on healthcare providers, while recruitment and retention of healthcare professionals remain difficult, particularly in peripheral areas. At the same time, many healthcare facilities are confronted with ageing infrastructure, limited resources, and the need to adopt more sustainable and efficient operational models.

  
  

  The Healthacross MED healthcare center in Gmünd represents an important cross-border healthcare hub and therefore offers an ideal testing environment for exploring innovative solutions that address both environmental sustainability and organisational challenges within healthcare services.

  
  

  The main objective of the pilot is to develop a structured and actionable sustainability concept for the healthcare center, addressing ecological performance, workforce well-being, and operational efficiency. This concept will identify key areas for improvement and propose targeted measures to enhance the long-term sustainability of the healthcare facility.

  
  

  The pilot will involve healthcare professionals, administrative staff, and relevant stakeholders in a participatory process aimed at identifying practical and feasible solutions. Through workshops, focus groups, and stakeholder consultations, the project will gather insights from frontline healthcare workers and decision-makers to ensure that the proposed measures respond to real operational needs and can be effectively integrated into daily practice.

  
  

  The sustainability concept will explore a range of potential interventions, including improvements in resource management, energy efficiency, and waste reduction, as well as organisational innovations aimed at improving working conditions for healthcare staff. In addition, the pilot will examine opportunities to optimise healthcare processes and develop integrated care pathways that enhance coordination between services and improve patient outcomes.

  
  

  Following the development of the sustainability concept, the pilot foresees the prospective implementation of two selected intervention measures tailored to the specific needs of the Healthacross MED center. These pilot actions will allow the testing of innovative practices in a real-world setting and will provide valuable insights for future scaling.

  
  

  The expected results include a comprehensive sustainability framework for the healthcare center and the practical implementation of selected measures that improve ecological performance and personnel sustainability. The pilot will generate knowledge and practical experience that can support the replication of similar initiatives in other healthcare facilities across Lower Austria and potentially in other Alpine regions.

  
  

  Through its dialogue-driven approach and its focus on practical experimentation, the pilot contributes to the PolicyParley arena by fostering collaboration between policymakers, healthcare providers, and institutional stakeholders. The lessons learned will help inform policy discussions on sustainable healthcare infrastructure and service organisation, ultimately supporting more resilient and efficient healthcare systems.

  
  
  
  

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  PP4 - CUAS - Carinthia University of Applied Sciences

  The Green Sustainable Hospital pilot, led by Carinthia University of Applied Sciences, aims to promote awareness, engagement, and practical adoption of sustainable solutions within hospital environments across Carinthia. The healthcare sector is increasingly recognised as a significant contributor to environmental impact, yet awareness and engagement among hospital stakeholders remain uneven, and opportunities for bottom-up participation in sustainability initiatives are often underutilised.
  
  This pilot addresses these challenges through the TechCAREavan methodology, which brings knowledge, tools, and interactive experiences directly into hospital settings. The goal is to bridge the gap between sustainability concepts and daily hospital practice by engaging healthcare professionals, administrative staff, facility managers, and patients in a participatory and experiential learning process.
  
  The main objective is to raise awareness of sustainable technologies, processes, and organisational practices while actively involving stakeholders in identifying feasible and context-specific solutions. The pilot emphasises that sustainability in healthcare is not only a technical issue but also a cultural and behavioural transformation that requires the active contribution of all actors within the hospital ecosystem.
  
  The intervention is structured around a mobile CAREavan exhibition that acts as a dynamic and interactive platform for knowledge transfer. Through visual content, digital simulations, and real-world examples, the CAREavan will showcase sustainable solutions such as energy-efficient systems, environmentally friendly materials, and improved waste management processes. These formats aim to make complex sustainability concepts tangible and relevant to everyday hospital operations.
  
  The pilot targets both primary and secondary stakeholders. Healthcare professionals and administrative staff are directly involved as key actors in implementing sustainable practices, while patients are engaged as contributors to behavioural change and as beneficiaries of greener healthcare environments.
  
  Expected results include increased awareness of sustainability challenges and opportunities within hospital settings, identification of new ideas inspired by best practices, and stronger engagement of staff and patients in co-developing green solutions. By fostering participation and knowledge exchange, the pilot contributes to building a shared culture of sustainability in healthcare. Ultimately, the pilot supports the TechCAREavan approach by demonstrating how mobile, interactive, and stakeholder-centred methods can accelerate the transition towards greener hospitals and more sustainable healthcare systems

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  PP5 - UKCM - Advancing Nursing Practice through Digital Standardization-Innovation

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  PP6 BioValley France