commvita™Connected care platform
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System maturity

From digitised to a learning health system.

A diagnostic for where an organisation actually is, service line by service line, and what the next pound moves.

The ladder

Six rungs, and most organisations sit across two

Maturity models are useful as a diagnostic and misleading as a score. An organisation is rarely at one level; it’s at different levels by service line, and the useful question is which rung the next pound moves.

The system maturity ladderSix rungs from digitised through integrated, coordinated, predictive and population driven to a learning health system.1DigitisedPaper replaced. Data captured, but heldin the system that captured it.2IntegratedSystems exchange. A clinician can see what another settingrecorded.3CoordinatedOne record and one plan across settings. Handover stops being a re-key.4PredictiveRisk and demand are anticipated, and the anticipation drives an action.5Population drivenCare is planned for a population, and inequity is measured, not assumed.6Learning health systemCare generates evidence and evidence changes care, continuously.Most organisations sit across two rungs at once, by service line. The ladder is a diagnostic, not a score.

The ladder is a diagnostic, not a score.

Instrumented

What commvita measures against

HIMSS models

Maturity worked out from what the platform actually does, across eight HIMSS models. commvita measures how ready you’re and gathers the evidence. The formal stage is awarded by HIMSS — we never certify ourselves.

Left shift

A single score across digital, community and prevention, adjusted for fairness.

Population maturity

Segmentation, inequality measurement and cohort-to-action not cohort-to-report.

Operational excellence

Flow measured like a production line, with the real bottleneck identified instead of assumed.

Financial sustainability

Recovery schemes with a quality impact gate and evidenced benefit realisation.

Learning health system

Evidence generated by care, feeding back into care, with the loop instrumented.

Captured from the running system

Two of the instruments

Screenshots of the platform as it runs, build B-569. Both modules carry their own data-provenance banner, and it’s left in.

LeftShift Intelligence© module. Heading reads Track and accelerate the move to digital, community-centred, preventive care, with tags for the NHS 10 Year Health Plan and the three shifts. A banner says Seeded demonstration data, not a live system feed. Tabs for Overview, Digital Shift, Community Shift, Prevention Shift, LeftShift Flow, Shift Signals, Shift Actions, Board Pack and Governance. A dark panel shows the overall index at 62 out of 100, Established, up 4.2 since the Q3 2024 baseline. An equity modifier of minus 3 notes digital exclusion rising in the over-75 cohort and the most deprived quintile. Three cards show Digital Shift 68, Community Shift 57 and Prevention Shift 52.
LeftShift Intelligence© · OverviewDigital · Community · Prevention

One index across the three shifts, with a pillar score for each and an equity modifier that pulls the headline down when the gains aren’t reaching everyone. Here it takes three points off because digital exclusion is rising in the over-75s and the most deprived quintile. A score that goes up while the gap widens isn’t progress, and the module says so on the front page.

commvita Outcome Intelligence© module. A green note explains it is a non-SaMD decision-support surface on seeded demonstration data, that the VUIT partner layer is feature-flagged off by default, and that LeftShift Intelligence© sits inside it as the Shift Maturity tab. A board scorecard shows nine measures: 71 percent of people improved or stabilised, median referral to support 18 days, inequality gap 14 points, outcome improvement per thousand pounds 0.42, workaround index 38, 9 percent of cases stuck beyond pathway, 63 percent of rising-risk people on proactive support, citizen and staff confidence 7.4 out of 10, and 5 high-impact operations not yet resourced. Tabs for Population and Risk, Outcomes, Access and Inequality, Value and Resource Deployment, Workforce Experience and Shift Maturity. Tiles show 270,310 population covered, 6,208 rising-risk people and 17.9 percent Core20 share. A risk-stratification pyramid lists six tiers from healthy and low need at 182,400 down to end-of-life and crisis at 610, each with the number rising.
Outcome Intelligence© · Population & RiskBoard scorecard · Risk-stratification pyramid

The board scorecard asks the questions a board should ask: are people healthier, are they getting timely access, is the money going where it does most good, can staff work without friction. Every tile is a named query that reconciles with its own drill-through, so a number on the scorecard can be traced to the cases behind it. The pyramid underneath shows who needs support now and how many in each tier are getting worse. LeftShift Intelligence© sits inside this module as the Shift Maturity tab. Nothing is duplicated.