To address these issues, the team developed a comprehensive, multi-dimensional solution that has the opportunity to make a sustainable, long-term difference in the Quang Tri Province:
To improve the patient experience and increase trust in the care offered in Quang Tri Commune Health Stations, a "Government Social Franchise Model" should be implemented as a means to drive quality and consistency across CHSs.
Social franchising is a creative attempt to use conventional commercial franchising methods focused on standardization and quality to achieve social rather than financial goals. Non-profit organizations are applying franchising strategies to improve health in developing countries and social franchising unites healthcare facilities in a network under a common brand, strict quality standards, and clear health services at affordable prices. If implemented and managed well, government social franchises can provide:
- Greater access to quality, affordable health services;
- Relief to an overburdened public health system;
- Increased trust in healthcare workers to deliver primary care;
- Increased incentives for health providers to deliver high quality care;
- Improved professional development opportunities for healthcare professionals; and
- Improved access to health financing mechanisms for equipment and supplies for the public sector health system.
The team's recommendation entails conducting an initial pilot with two to three Quang Tri Province CHSs leveraging the Government Social Franchise Model. The goal of this pilot is to systemically improve the quality of primary care at the CHSs. This proposal takes a holistic approach and addresses three pillars for success:
- Infrastructure improvements
- Equipment improvements; and
- Effective staff training
This recommendation would require close management oversight and a unified brand – all aimed at providing a superior, high quality patient experience.
Finally, an innovative aspect to this solution is the introduction of a full-service in-clinic pharmacy in the CHS as a method of increasing patient traffic and generating revenue. This component is important to driving a self-sustaining model that can be maintained long after the pilot project is complete.
This year more than 25 Fellows were selected to participate in team immersion projects and put their skills and expertise together to solve important heath access problems around the world. Trips to three locations took place in October 2014 (Bangladesh, Rwanda and Vietnam), and three more cohorts will be deployed in March 2015.
Visit globalinnovationfellows.medtronic.com to learn more about the program and how you can get involved.