## 1 Introduction
### Contribution  
To stay competitive and successfully deal with today's VUCA dynamics, established healthcare organizations need to continuously adapt. However, today no standardized strategy or approach supporting continuous adaptation exists. Thus, healthcare organizations are left alone when navigating the VUCA world. I.e., when designing and implementing the continual analysis of their context and competition to identify relevant changes to be met by customized adaptation strategies fitting their unique strengths and weaknesses. While hiring consultants is possible, it is not a solution enabling hospitals to deal with constant change independently in the future.  
To address this gap and enable organizations to handle the complex gestalt of holistic analyses, this article proposes, introduces, and adopts a holistic method and corresponding tool support. It aligns the MMM and MINT perspectives to excel in value-based healthcare and digitalization. To achieve this 360-degree healthcare imperative, we resort to established methods, e.g., strategic management, stakeholder value, and value-based healthcare, to address the hospitals' domain-specific challenges and potential.  
This has several advantages. First, normally, suitable theories, methods, frameworks, roadmaps, canvases, and balanced scorecards are used in an isolated and solitary fashion. In contrast, this article aims to achieve a holistic understanding. We propose and introduce the GOLD Framework, aiming at a domain-specific selection, integration, and interlinkage of these approaches [5]. Second, the GOLD Tool integration brings the GOLD Framework to life. It enables the co-analysis and co-alignment by assimilating the selected methods into a holistic, coherent, and consistent multi-perspective and multi-step analysis process [6]. Third, the GOLD Tool enables a structured and standardized yet customizable analysis approach, guiding its users step by step and from perspective to perspective [7]. Fourth, this holistic approach supports the identification of relevant sources of change, their analyses, and their evaluation, and derives customized mitigation strategies. Fifth, it aims to achieve a new level of transparency, tangibility, and stakeholder alignment, easing and supporting strategic decision-making towards ambidextrous healthcare.  
The contribution of the article is to demonstrate how to derive an IT-tool-supported multi-perspective approach for the healthcare domain, e.g., hospitals. It enables and integrates the top-down refinement from external to internal influences, covering macro-, meso-, and micro-level analyses (see details in Section 4): The macro-challenges of the healthcare and hospital system get, e.g., identified and analyzed by adopting the PESTEL framework resulting in a portfolio of potential risks and opportunities. On the meso level, an adapted version of [PERSON]'s 5 forces delineates the competitive dynamics in healthcare. The micro level gets addressed with the ambidextrous healthcare framework. It resembles a multi-perspective approach of strategic and operative coherence since many decision vectors cause a multi-constraint system (see Figure 1).  
This article's structure: Section 1 introduces the article. In Section 2, we summarize relevant theories and suitable materials for the healthcare domain, its changing trends, and approaches for dealing with it. Section 3 introduces the GOLD Framework, the GOLD Tool, and the generic process towards a domain-specific GOLD Tool integration. Section 4 depicts the exemplary domain-specific GOLD Tool integration. Section 5 discusses the results and their benefits/limitations before the article concludes in Section 6 with the contributions and outlook.