The OSS Programme: Sustainable Change in Healthcare

Fabric+ guided 60 municipal health leaders through a year-long, co-creative programme to build a shared understanding of the health system and develop services through testing and collaboration.

The Challenge

Health and care services faced increasing demand, limited resources and growing complexity, while fragmented services undermined both efficiency and quality.

Key Question

How can we improve patient pathways and collaboration across services in a complex system with limited resources?

Context

Bodø Municipality needed to strengthen its health and care services to meet demographic changes, tighter finances and more complex needs. This required a shift from silo-organised services to a more cohesive and collaborative system.

What We Did

• Engaged leaders and professionals across services

• Mapped patient pathways and connections within the system

• Identified bottlenecks and collaboration challenges

• Developed and explored new ideas and early concepts

• Built shared understanding and laid the groundwork for further implementation

Impact and Value

1. Identified low-cost improvements

2. Reduced inefficiency in patient pathways

3. Strengthened collaboration and trust across services

4. Increased shared understanding of patient needs

5. Built a more open and solution-oriented culture

6. Strengthened the foundation for sustainable service development

What This Enables

• Strengthened leadership capacity for change and innovation

• Targeted pilot projects for testing and implementation

In the Words of Participants

"The municipality is a network of services/actors — that is OSS."
"The patient pathway depends on everyone involved."
"We have identified potentials that are not particularly resource-intensive or costly. With the right prioritisation, we can improve the transitions — I also believe it will be cost-saving in the long run."