TOTAL COST OF OWNERSHIP TOOL

Digital Square’s Total Cost of Ownership (TCO) Tool is an interactive budgeting and benchmarking resource intended to help health leaders understand and develop more realistic budgets for digital health projects. Based in Excel with simple user inputs, the TCO Tool focuses on identifying common hidden costs, cost drivers, and variances, especially as they pertain to the operational costs often overlooked in budgeting.

DIGITAL HEALTH SUSTAINABILITY CALCULATOR

The Digital Health Sustainability Calculator is designed to estimate what it will cost to deliver sustainable digital health in a country. The latest version of the Calculator uses costed country roadmap data to provide suggested user inputs, serving as a starting place for understanding the total cost of digital health. 

This Executive Summary provides a brief introduction to Digital Square’s market analytics work and describes the analyses available on the Digital Square website.

The Sustainable Digital Health at Scale case study explores the implementation of electronic medical records (EMRs) in India and dimensions critical for success and scale.

The Lives Saved Tool (LiST) model analysis, published in PLoS ONE, was used to estimate health impact from lives saved in newborns and children in Mozambique, Tanzania, and Ethiopia from the use of a logistics management information system.

The Phase 1 Summary Findings address three questions covered under the first phase of market analytics research:

• Why do digital health innovations scale at different paces?

• Does development actor behavior accelerate or hinder the scale of digital health innovations in LMICs?

• What are the biggest structural incentives preventing ‘digitally-enabled health systems’?

Product Attribute Needs by Digital Health Maturity Level outlines key product attributes for digital health tools across different levels of digital health maturity.

This Value Chain Analysis provides a view across countries of differing levels of digital health maturity, what roles the private sector can and should play, and where global goods could maximize the growth and sustainability of digital health.

The Digital Health Incentives Structures report provides a summary of findings from more than 20 key informant interviews from leaders in funding agencies and governments.

The Vaccine Market-Shaping report:

• Provides an overview of the vaccine market at key points in time

• Evaluates targeted market-shaping interventions that may have relevance to the wireless connectivity and software markets today

• documents (at a high level) how key market-shaping interventions were operationalized

The Checklist for Digital Health Investments is a tool for decision makers to ensure that their investments align with the Principles for Digital Development and the Principles of Donor Alignment for Digital Health, maximize return, and promote a healthy digital health ecosystem.

The Factors Affecting Cloud Adoption in Low-Resource Settings analysis explores the drivers and barriers for cloud adoption and identifies areas of saturation within digital health markets.

The Unmet Needs in Health Data analysis provides a landscape of the digital health and data sector to understand how data needs are currently met and to identify key unmet needs with a focus on care management.

The Cost Outcomes Research Methodology document presents a replicable method for quantifying potential health impact for digital health interventions, using a combination of peer-reviewed literature and modeling best practices.

This Executive Summary provides details on a Total Cost of Ownership (TCO) analysis that will help government leaders—and their implementing partners and investors—understand what costs to include in a five year budget, common cost variances, hidden costs, and key questions to ask when budgeting for a digital health intervention.

Based on a comprehensive evaluation of costs for five, nationally scaled logistics management information systems (LMIS) used to manage stock and distribution of life-saving commodities, this reference document presents illustrative costs associated with the adaptation of an existing open-source global good for LMIS and its implementation and operation over a period of five years across a variety of different low-resource contexts.