HIPSS D3.2 Report on adaptation of the intervention: gap analysis and confirmation of taxonomy for different health systems Adaptation of the HIPSS System Level Intervention: Gap Analysis and Scoping Review results

Deliverable 3.2 Report on adaptation of the HIPSS system level intervention: gap analysis and confirmation of taxonomy for different health systems includes a subtitle: Report on adaptation of HIPSS System level intervention: gap analysis scoping review results as initial steps towards a taxonomy definition to drive change in health systems. This responds to the evolution of the analysis, the reframing of robust methodological adaptations to move firmly towards new territories. This adaptation in described in the introduction. D3.2 serves as the strategic continuation of Deliverable 3.1: Report on Systemic Policy to Drive the Transformation Through PPI (D3.1). While D3.1 established the starting point of this transformation journey, D3.2 validates and expands the HIPSS Systemic Policy Framework. This framework represents a comprehensive attempt to map, from the health system’s perspective, the complex elements required to overcome the barriers of the current status quo and collaboratively imagine necessary change.The insights in this report are grounded in a "journey" facilitated by the HIPSS Systemic Workshop Series (High-Level Policy Forum). This series moved from addressing demand-driven instruments and scaling (WS1) to exploring the specific enablers required to adopt disruptive technologies. Aligned with World Health Organization (WHO) innovation structures, the workshops engaged stakeholders to co-create knowledge across three critical categories: Technological Enablers (WS3). Skills and Capacity Building (WS2). Structural, Legal, Political, and Cultural Enablers (WS4). This process engaged diverse professionals from across Europe—including representatives from Belgium, Sweden, Catalonia, Andalusia, Germany, the Netherlands, Madrid, France, Poland, Denmark, Aragon, and Italy. Their contributions updated the project’s initial findings, offering a clearer picture of the gaps that policies must address to respond to local contexts and the unequal playing fields affecting health outcomes across the EU. The analysis reveals that innovation policies designed to incentivize markets are often disconnected from the operational realities of healthcare—systems struggling with limited resources, staff burnout, and daily complexities. To bridge these gaps, this deliverable positions Public Procurement of Innovation (PPI) not merely as a purchasing instrument, but as a transformational policy capable of embedding change management directly into the system. Acknowledging that every innovation requires traveling through "unchartered territory," this report supports the HIPSS Systemic Policy Framework with evidence gathered through a comprehensive Scoping Review. This review responds to the research questions set in D3.1, identifying successful cases and literature that validate the need for a shift in perspective. This report details the methodology and results of expanding the Gap Analysis and integrating narratives from the scoping review into the framework’s quadrants. It is not a competition of best practices, but a roadmap for driving collective, collaborative, and systemic change. By defining the roles and policies that actors must embrace, D3.2 aims to support the emergence of sustainable, future-ready health systems. (https://cordis.europa.eu/project/id/101158221)