From prototypes to pilots built to scale.
Sector
Provincial health system
Scope
Whole-system implementation
Engagement
Design sprints & advisory
Situation
01
A provincial health system was stuck between prototype and practice. Co-designed prototypes had been validated; nobody had figured out how they would survive full institutional reality.
Shift
02
Stopped treating it as a rollout from prototype to pilot. Started treating it as building the receiving system that would make scaling possible.
Flow
03
Pilots that held under institutional weight. A clearer path from design room to operating room.
The line that travels
“Pilots do not scale. The system built around them does.”
What kept moving
- Pilots that survived full operational conditions
- A clearer handoff between design and operations
- A shared language for 'scaling' that matched reality
Context
Prototypes in a provincial health system had passed co-design review but repeatedly failed to survive full institutional conditions. We reframed the work: the task was not to launch the prototype, it was to build the receiving system that would hold it. Sprints, advisory, and governance alignment followed.
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