This session describes the various effects, i.e. costs, quality of care and usability, of the innovative decision support system DigiROP. Infants born very preterm, i.e. more than two months early, need very advanced care. An increased survival of these infants combined with a shortage of beds and specialized staff results in that these infants are transported between different hospitals both on a National and Nordic level. The eye disease retinopathy of prematurity (ROP) develops during the neonatal period during a long time and can only be diagnosed by pediatric ophthalmologists. In order for a screening ophthalmologist to interpret disease development, access to all previous examinations are needed, which the examining clinician often does not have. The reason for this is that transferred patients are not accompanied by their paper protocols. Before all protocols were analogue documents, meaning all use of algorithms were used on calculators or web applications offering automatic calculations of algorithms, that on a later stage were transcribed into the electronic patient record (EPR) and quality register SWEDROP separately. Recent studies have noticed that more infants have become blind due to sight-threatening disease ROP. Researchers suspected that the cause could be found in the screening process and diagnosis. We have found the solution by digitizing the screening, diagnosis and planned treatment of ROP. The decision support system DigiROP has been implemented based on algorithms to both a) identify and predict patient’s ROP score and b) probability of need of laser treatment or new examination. The decision support system is integrated with SWEDROP (national quality register for ROP) and Melior (electronic medical record). The need for an isolated IT system as a service provided “by one body” has disappeared; today it is a shared infrastructure with connected and embedded solutions that makes the difference for the medical staff’s work and thus the outcome of the patient. Implementing, using and tailoring the decision support system is just a starting point for a novel and limitless digitalization that includes many IT systems, Apps in different healthcare regions also including guardian’s use of apps and web applications on smart phones and/or tablets. How the use of the decision support system has resulted in a) better health outcomes, b) lower cost of care, c) improved staff experience and d) improved guardian experience will be presented during the session.