In our #SmartHealthSystems study, we analyzed 17 countries on the state of digitalization in healthcare. In our specifically developed Digital Health Index, Canada earned an excellent second place. In our Skype interview, Dr. Jennifer Zelmer, President and CEO of the Canadian Foundation for Healthcare Improvement, explains that new e-health services will be successful if they address the needs of citizens and healthcare professionals and are perceived as valuable clinical support. In Canada, the acceptance of new technologies has been systematically promoted through targeted user involvement and various campaigns. For Zelmer, the resulting engagement of citizens and physicians constitutes a key factor for the successful digitization process in Canada.