Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?
Most countries are burdened by an increasing healthcare cost, unequal distribution of quality and quantity of care, and unsustainable model of care regardless of their delivery system. A major reason is the ineffective management of chronic diseases, their growing prevalence, and progression to acute episodes and long-term burden.
• Consumers recognize the limited success of self-care for their chronic conditions.
• Providers frustrated with low reimbursement of managing chronic diseases and their co-morbidities.
• Employers and/or government see the high economic cost of healthcare decreasing their resources and abilities to compete globally.
• Policymakers realize the disconnection between incentives, management of chronic diseases and overall effectiveness of health system.
The disruptive factor that we proposed is the initial free BPHP. This package helps address the challenges of chronic care. BPHP is segmented to different population groups. It consists of conventional diagnostic and therapeutic services with emphasis on patient advocacy targeting obesity, cardiovascular health and diabetes. Researchers at MIT’s Poverty Action Lab have proven that when the benefits are not instantly visible but have potential to extend beyond initial users onto a larger social circle then the ‘product’ is a good candidate for free distribution. Even if the ‘free product’ is not utilized completely, the ROI of preventive behavior is huge. Last, a free package can circumvent the ‘thinking factors’ of inconveniences and finance, and encourages increase usage.
Describe how your innovation model is distinct from any other organization in your field?
Already there are others such as the Clinicas del Azucar who has created an integrated “one-stop-shop” medical care but yet there are more of those in our system who are just traditional healthcare facilities that are incentivized by volume. It is true that some are innovated to provide low cost services that are fully sustainable. However, our approach differs amongst them because BPHP is evidence-based practice and ‘free’. We based our approach on findings by MIT that even small fees can cause big reduction in uptake of services and not promote usage. This attempt diluted balance access and sustainability as small fees raise little revenue, and restricted distribution. Moreover, an initial free offering is more likely to stimulate further consumption within and among even at a cost.
What type of operating environment and internal organizational factors make your innovation successful?
Our ‘idea’ works best in a mature primary care environment whereby the System has already a platform of delivering services and products. This matured system has a network of consumers, providers and insurance companies. It is even more urgent if the System has experienced a ‘wicked’ state of much needed health reform, and the population has adopted a national culture of consumerism. For example, a traditional facility can be easily converted into a clinic with wellness coaches, and taking advantages of electronic medical record, community facilities, websites and social media capabilities, and focused health educational materials for targeted group. Insurance and companies even State are more likely to fund this initiative as the short and long term effect is cost-saving.
How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?
We realized that all plans are not without constant challenges especially along the growth path. Therefore, ORCD as its primary mission is constantly performing feasibility and impact evaluation of similar or new model in other markets especially those supported by governments and donors. As a NGO we have the capacity to do randomized studies about the different attributes of BPHP to better the program and hence, adapting it to constant climate changes of market. Also, as an ‘idea’ BPHP should be tested in smaller and stable markets such as within companies and employers or even a community center. It is more effective if collaboration can be formed between governmental agencies for promotion and insurance companies.