Building an integrated care delivery model that improves care for underserved communities.
How We Work
Possible’s mission is to improve healthcare for underserved communities.
Our integrated care delivery systems include the following components:
1. Primary care at facilities that cuts across conditions, including chronic disease, mental health, and surgical care. We operate in three facilities where we currently are innovating on primary care services.
2. Home-based, longitudinal care, delivered by a professionalized community health workers (CHWs). Our CHW program has been implemented in 9 municipalities with a proven positive impact on
3. Integrated electronic health record systems to optimize care between the facility and the community. NepalEHR is one of the world’s first successful integrations of OpenMRS (facility- based data capture), DHIS2 (data aggregation and visualization), and CommCare (home-based data capture).
These components allow us to deliver timely, integrated, coordinated, continuous and comprehensive care based on the needs of the population.
In total, we deliver integrated care from facility to community to over 200,000 individuals, over 150,000 hospital visits, and over 8,000 surgical procedures annually.
We operate on a partnership model comprised of a New York based non-profit providing fundraising and strategic support; Nyaya Health Nepal, an NGO working with the government to strengthen care delivery and health systems; and technical advisors.
The total staff in the partnership include more than 400 employees, 7 based at the NYC-based 501c3 non-profit, 7 academic affiliate faculty, and 350+ based in Nepal.
Currently, we operate in two districts: Achham in the Far-West and Dolakha, a region devastated by the 2015 earthquakes.
The goals of this model are to improve health outcomes for an entire population, and to advance local, country-wide, and global healthcare policy and practice.
Why system-wide improvements are required for sustained impact?
Our hypothesis is that system-wide improvements – rather than a focus on specific aspects of the health system or continuum of care – are required for sustained impact on healthcare outcomes and cost.
While the Millennium Development Goals have helped reduce the global disease burden due to specific infectious diseases and childhood illnesses, non-communicable diseases (NCDs) have arisen as major threats, in resource-constrained health systems.
Our goal is to address this largely unmet need, by designing public health systems that both expand access and also provide reliable, quality and comprehensive care for underserved communities, where care is needed the most.