YOu have co-creation also in P 1. - is this the same focus here? In any case I would include the co-creation / service design aspect (i.e. User-Driven Innovation) much stronger in this paper. The usability, acceptance, value and outcomes of the new AHA services (that include technologies, digital solutions)are dependant of the having the real understanding of what works and what does not and why. This also makes it possible t evaluate the cost/effectiveness or cost/impact of the new deployed service - this is needed in a world of scarce resources where the payer wants to have "value for money"