Abstract
The COVID-19 pandemic has been characterized as a "big-event disruption" that fundamentally challenged the sustainability of existing healthcare business and service models and demanded innovation through "dual transformation" simultaneously to both core operations and the evolution of new strategic directions. The concept of disruptive innovation as applied to healthcare is reviewed and the strategies of distributed healthcare organizations supporting the most medically and socially complex communities during the COVID-19 pandemic are described as demonstrative of the promise of disruptive innovation in healthcare to bring about the necessary shift away from acute and facility-based care to integrated health and social care in the community. The place of new digital health technologies including "big data" analytics, digital platforms, and artificial intelligence/machine learning are identified as being integral to optimizing the scale and scope of impact of distributed community health and social care.