The Digital Health Ecosystem (DHE) is a guided open collaborative ecosystem which uses Stay Left, Shift Left-10X (SL2-10X) as its shared vision/paradigm, and uses the breakthrough Open Innovation 2.0 methodology as its innovation paradigm. The DHE focuses on three vectors: Education, Exploration and Exploitation.

The DHE brings together academia, industry, government, and citizens/patients who work with shared values toward the shared vision of Stay Left, Shift Left–10X. This vision aims to keep people well in their homes and communities (“Stay Left”), move care earlier and closer to the patient (“Shift Left”), and deliver tenfold improvements (“10X”) in outcomes, cost, access, and experience through digital innovation.

The DHE’s exploration mission focuses on identifying emerging technologies, models, and opportunities that can transform health systems. This includes horizon scanning, early-stage experimentation, and the development of new digital pathways that support prevention, early detection, and proactive care. Design Science Research underpins the research methodology of the DHE, ensuring that innovations are rigorously designed, tested, evaluated, and iteratively improved in real-world contexts.

The DHE applies its own ‘Open Innovation 2.0‘ principles across a network of health living labs operating in real clinical and community environments. These living labs accelerate innovation by enabling rapid prototyping, evaluation, and scaling of digital health solutions. Key sites include Mater Misericordiae University Hospital, Dublin and Royal Hospital Donnybrook, Dublin. These environments demonstrate how guided open collaborative ecosystems can deliver system-level change.

The Digital Health Academy is the platform for learning and has evolved from the HSE Digital Academy founded by Prof Martin Curley in 2019. It is designed to accelerate digital health capability across clinical, academic, industry and policy communities. Built on the SL2-10X doctrine, the Academy brings together global thought leaders, cutting-edge research, and transformative education to shape a new, collaborative future for health and care.