Implementation is the hidden ROI: Why what happens after the purchase matters most

In the health and care sector, technology purchasing decisions are often driven by need, pressure, and promise. Demographic change, workforce shortages, and rising expectations for quality of care all push decision-makers toward solutions that can improve patient outcomes, reduce workload, and support ageing well. But there is a hard truth that every leader in this space eventually faces:

A product does not deliver value just because it is bought.
It delivers value when it is implemented well — and used consistently.

Too many projects fail not because the technology is flawed, but because the organisation underestimates the real work that begins after the contract is signed. Whether it’s a digital care platform, telehealth solution, mobility technology, or an engagement tool like Motiview — the return on investment is not in the purchase. It is in the adoption.

The ROI equation has a missing variable: Implementation

Most organisations calculate ROI in two steps:

  1. Cost of product
  2. Expected outcome or savings

But that leaves out the third — and decisive — variable:

  1. The level of implementation and sustained use

A product with 80% adoption will outperform a “better” product with 20% adoption — every time.

In health and care environments, unimplemented technology becomes shelfware, unused licenses, frustrated staff, and wasted budget. Worse, it creates innovation fatigue — the emotional residue of failed initiatives that makes people more resistant the next time something new is introduced.

Why implementation matters specifically for solutions for the care sector

Solutions for older adults and people living with cognitive or physical decline require three non-negotiables:

  1. Human connection — the tech serves people, not the other way around
  2. Routine and repetition — success is built in small moments over time
  3. Cross-disciplinary ownership — care staff, managers, families, volunteers, and residents are all part of the system

A product like Motiview — which combines physical activity with meaningful reminiscence through video cycling — works not because of the screen, the bike, or the software. It works because:

  • staff introduce it in a motivating way
  • routines are established
  • success stories are shared
  • residents feel seen and involved
  • leadership treats it as a priority, not a toy

When implementation succeeds, impact follows:
✅ increased physical activity
✅ improved mental health
✅ reduced loneliness and agitation
✅ stronger social interaction
✅ better staff morale
✅ measurable health outcomes that justify funding and renewal

You can read more about Motiview by Motitech her: https://motiview.no/en

The real risk is not buying the wrong product — It’s failing to unlock its value

In innovation projects in the health sector, the most expensive outcome is not failure — it is partial success.

  • The equipment is there, but rarely used.
  • The staff were trained once, years ago.
  • The pilot was great, but scaling never happened.
  • The “project owner” left their job, and the initiative slowly died.

In many municipalities and care providers, the graveyard of half-implemented solutions is large — and growing.

Good implementation protects the investment, the staff, the reputation of the organisation, and most importantly — the people the solution was meant to help.


Top 10 tips for successful implementation of technology

(with reference to solutions like Motiview)

1. Anchor the “Why” before the “How”

Before rollout, clarify the purpose:
What problem are we solving? For whom? How will we know it works?
People support what they understand.

2. Build a Local Ownership Team

Appoint one strategic owner (manager) + one operational champion (frontline).
Technology dies when it belongs to “everyone” and therefore no one.

3. Train for Mastery, Not Just Use

Staff need more than a demo — they need confidence and storytelling skills.
With Motiview, it’s not “turn on the bike.” It’s “help a person travel back to their hometown while exercising.”

4. Start Small — Scale Smart

Begin with one unit, one ward, one user group.
Document wins → share them → create pull instead of push.

5. Integrate Into Daily Routines

If it depends on “extra time,” it will fail.
If it becomes part of morning activity, physio plans, family visits, or reminiscence sessions, it will succeed.

6. Collect Visible Evidence of Impact

Use photos, quotes, activity data, short stories.
Nothing drives adoption like proof of joy and results.

7. Celebrate Early Wins Publicly

Put it on the staff wall, intranet, newsletter, social media, municipal update.
Recognition turns implementation into culture.

8. Train for Turnover

Health and care has high staff rotation. “One-time training” is a myth.
Build continuous onboarding into HR processes.

9. Connect the Solution to Funding & Strategy

Make it part of quality metrics, dementia policy, public health goals, or innovation plans.
Projects survive when they align with budgets and strategic documents.

10. Treat Renewal as a Success Metric — From Day One

Renewal should not be a surprise conversation.
When the product works, renewal becomes a natural continuation — not a sales negotiation.


Implementation is the ROI engine

Buying a product is a transaction.
Implementing a product is a transformation.

In a sector where the stakes are human dignity, mobility, independence, and mental wellbeing, technology is not just a tool — it is a bridge between what is possible and what is real. But only if people use it, own it, and benefit from it.

The question is not: “Can we afford to implement well?”
The real question is: “Can we afford not to?”

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