Possible is building an integrated healthcare delivery system that extends from the hospital to the home.
Integrated Care Delivery
Possible works in two districts in Nepal: Achham in the Far-West and Dolakha, which was devastated by the 2015 earthquakes.
Our delivery model connects government facilities and community health workers at and across the points of care, from the hospital to the home. These government facilities serve as our innovation and training hubs.
Our model is designed to allow effective care coordination and involves:
1) intervention at the government-owned facilities to improve quality, efficiency and management of care;
2) a professionalized community health worker program to bring basic care closer to communities; and
3) and an integrated electronic health record (NepalEHR) that enables data flow between the facility and the home.
The goals of this model are to improve health outcomes for an entire population.
What is unique about an Integrated Healthcare system?
Integrated healthcare puts patients at the center of its design.
Over the past 10 years, we have learned that even the most innovative pubic hospitals, alone, don’t work for patients in remote areas, because transportation cost to a hospital is an added burden that prevents adequate and timely preventive care and follow-up.
And Community Healthcare models, alone, don’t work, because Community Health Workers do not have the training or equipment to diagnose or treat acute conditions.
An integrated healthcare delivery system puts the patients’ well-being first, without incentivizing profit. It recognizes that improving health outcomes for a community cannot happen as isolated patient visits–but must happen through a commitment to data collection, analysis, learning, innovation, and coordination at every level of the care delivery, both in facilities and in the field.
To be effective, our model leverages the scale, infrastructure, and accountability of the government healthcare system. And it accesses philanthropic resources towards innovation and global health best practices.