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In this commentary, we suggest that shifting from a perspective focused on \u201cimplementing\u201d new digital tools in health care settings toward one focused on \u201cservice design\u201d will help teams execute more successful digital technology adoption projects. We present value proposition design (VPD) as a service design strategy requiring that stakeholders are brutally honest in determining the value of a new digital tool for their everyday work. Incorporating a perspective focused on how the value proposition of a technology is understood by each team member, and implications for their work routines, will help project teams to better understand how services can be reinvented during technology adoption initiatives. We present the simple heuristic [Tool+Team+Routine] as a reminder of the central considerations that make up a service design initiative, and present an illustrative case scenario of designing the use of a digital care coordination platform in an actual digital technology adoption project. We conclude by outlining two important challenges that need to be addressed to advance service design approaches to technology adoption in health care.<\/jats:p>","DOI":"10.1038\/s41746-018-0059-8","type":"journal-article","created":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T10:30:13Z","timestamp":1536921013000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":160,"title":["Beyond \u201cimplementation\u201d: digital health innovation and service design"],"prefix":"10.1038","volume":"1","author":[{"given":"James","family":"Shaw","sequence":"first","affiliation":[]},{"given":"Payal","family":"Agarwal","sequence":"additional","affiliation":[]},{"given":"Laura","family":"Desveaux","sequence":"additional","affiliation":[]},{"given":"Daniel Cornejo","family":"Palma","sequence":"additional","affiliation":[]},{"given":"Vess","family":"Stamenova","sequence":"additional","affiliation":[]},{"given":"Trevor","family":"Jamieson","sequence":"additional","affiliation":[]},{"given":"Rebecca","family":"Yang","sequence":"additional","affiliation":[]},{"given":"R. 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