Possible is building an integrated care delivery model that extends from the hospital to one’s home.
Integrated Care Delivery
Possible, a US-based non-profit, and Nyaya Health Nepal, a Nepal-based NGO, have partnered over the last decade to provide quality, accessible care to underserved communities in Nepal.
Currently, we work in two districts: Achham in the Far-West and Dolakha, which was devastated by the 2015 earthquakes.
Our more than 350 staff provide integrated care from home to hospital to over 200,000 community members, provide over 150,000 hospital visits, and conduct over 8,000 surgical procedures annually.
Our integrated care model includes both implementation, where we design and deliver programs, and scaling efforts, where we disseminate research findings and advocate for policy change.
The key components of our model include:
(1) improving quality of care at government-owned facilities; These facilities serve as our teaching and innovation centers.
(2) home-based, longitudinal care delivered by professionalized community health workers; and
(3) an integrated electronic health record to optimize care between the facility and the home.
We use our data, research, and experience as a healthcare provider to inform local, national, and global healthcare policy and practice.
The goals of this model are to improve health outcomes for an entire population.
What is unique about Integrated Care Delivery?
Integrated care delivery puts patients at the center of its design.
Over the past 10 years, we have seen that the most innovative private hospitals don’t work, because high costs prevent many patients from seeking timely preventative care and follow-up.
Community Healthcare models, alone, don’t work, because Community Health Workers are not equipped to diagnose or treat acute conditions.
Integrated care delivery puts a patients’ well-being first, without incentivizing profit. It recognizes that improving health outcomes for a community cannot happen in isolation– but requires a longitudinal approach that involves data collection, analysis, and learning at every level of the care delivery, both in facilities and in the field.
Our approach leverages the scale, infrastructure, and accountability of the government healthcare system. And it accesses philanthropic resources towards innovation and global best practices.