Working Groups

Since its inception in 2014, ISQua’s Innovation and Systems Change Working Group has been assessing how health systems cope with current and impending ageing populations, with the aim to facilitate a global collaborative approach to address this challenge.


The group's work complements studies undertaken by the World Health Organisation (WHO), European Union and World Economic Forum (WEF).


In 2016, a white paper, authored by the group was published on this subject. The group continues to work on publishing open-access resources, using in-depth analysis of literature and opinion on this topic, to provide pragmatic updates on current and future strategies.

White Paper

During 2015, the Innovation & Systems Change Working Group began focusing on the global issue of ageing populations, the increasing pressure worldwide on health care systems and the transformation of care needed. Health care systems must continuously innovate and adapt if they are to meet the challenge of delivering safer, better care to more complex patients within limited health care budgets.


In October 2015, a one day seminar was held in Doha, Qatar where representatives from sixteen countries shared their vision, diagnosis and further challenges to address their ageing populations. An editorial based on the discussions held in Doha was published in the International Journal for Quality in Health Care in March 2016. On Monday 17th October 2016 Professor Cliff Hughes officially launched the first white paper - Health Systems and Their Sustainability.



On 24th July 2017 Prof René Amalberti, MD, PhD, Senior advisor to the French Patient Safety Accreditation Agency (HAS - Haute Autorité de Santé) and Chair of ISQua's Innovative System Change Working Group gave a webinar on massive population ageing and the major effect this has on health care.

Opinion Paper

The recent and fast-growing occurrence of tremendous social changes impacting health and care (massive ageing, growing regional disparities, lack of medical resources, digital revolution) coupled with many tremendous technical changes that already exist, or will exist soon, (e.g. day surgery, personalized medicine, big data, artificial intelligence) question accreditation and certification programs (collectively, external evaluation).


This opinion paper, - Three challenges for external evaluation: Ensuring relevance and preparing for the 2030’s - co-authored by the members of the ISQua External Evaluation Association Accreditation Council, and the Innovation and Systems Change Working group of ISQua, is a first attempt to define the extent of the challenge, and tentatively show what type of (r)evolution is required to address evaluation in the 2030's.