Best practices and challenges in executing large scale pilots for eHealth deployment and managing innovation: the GATEKEEPER experience - Summary - MDSpire

Best practices and challenges in executing large scale pilots for eHealth deployment and managing innovation: the GATEKEEPER experience

  • By

  • Davide Piaggio

  • Jordi de Batlle

  • Alba M. Gallego Montejo

  • Gloria Cea Sánchez

  • Pedro Checa Rifá

  • Alessia Maccaro

  • Rosana Angles Barbastro

  • Maria Teresa Hurtado

  • Jon Eneko Idoyaga Uribarrena

  • Irati Erreguerena Redondo

  • Maria Krini

  • Maria Matsangidou

  • Ioanna Drympeta

  • Konstantinos Votis

  • Alessio Antonini

  • Przemyslaw Kardas

  • Pawel Lewek

  • Julia Schellong

  • Francesco Giuliani

  • Franco Mercalli

  • Giuseppe Fico

  • Leandro Pecchia

  • the GATEKEEPER Consortium

  • May 29, 2026

  • 0 min

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Objective:

To develop and refine a management framework for executing federated, multinational eHealth pilots, addressing key implementation challenges.

Key Findings:
  • The framework includes key performance indicators, standardized reporting tools, and a Business Intelligence dashboard for real-time monitoring.
  • Prioritized strategies include usability testing, user-centered design, and active recruitment to enhance pilot effectiveness.
Interpretation:

The management framework provides actionable guidance for coordinating large-scale, multi-site digital health deployments, with implications for future projects.

Limitations:
  • The study may not address all unique challenges faced by different healthcare systems; future research should explore these variations.
  • Focus on specific operational domains may overlook broader contextual factors that could influence implementation success.
Conclusion:

The GATEKEEPER project offers valuable insights into structured operational governance and performance monitoring for eHealth pilots, essential for future large-scale initiatives.

Original Source(s)

Best practices and challenges in executing large scale pilots for eHealth deployment and managing innovation: the GATEKEEPER experience

  • by Davide Piaggio, Jordi de Batlle, Alba M. Gallego Montejo, Gloria Cea Sánchez, Pedro Checa Rifá, Alessia Maccaro, Rosana Angles Barbastro, Maria Teresa Hurtado, Jon Eneko Idoyaga Uribarrena, Irati Erreguerena Redondo, Maria Krini, Maria Matsangidou, Ioanna Drympeta, Konstantinos Votis, Alessio Antonini, Przemyslaw Kardas, Pawel Lewek, Julia Schellong, Francesco Giuliani, Franco Mercalli, Giuseppe Fico, Leandro Pecchia, the GATEKEEPER Consortium

  • May 29, 2026

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